NPIMap

Individual provider Active NPI

Kenneth Fasanella, MD

  • Gastroenterology Physician
  • Pittsburgh, PA
National Provider Identifier
1629288303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD431090 Issued in PA
Practice address
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone
(412) 647-8666
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD431090 PA Primary

Addresses

Primary practice location

200 Lothrop St
Pittsburgh, PA 15213-2536

Mailing address

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070619000404 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 5799884664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

110 N Main St
Greenville, PA 16125-1726

110 N Main St FL
Greenville, PA 16125-1726

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

300 Halket St
Pittsburgh, PA 15213-3108

815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 383-3200

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2007 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince May 17, 2024 Accepting new patients
Pinnacle Health Medical Services Gastroenterology CurrentSince May 17, 2024 Accepting new patients
University of Pittsburgh Physicians Gastroenterology CurrentSince Jul 1, 2007 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
#G100
Pittsburgh, PA 15213
Phone (412) 692-4882

Interoperability endpoints

  • Direct secure messaging: kenneth.e.fasanella@upmcdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629288303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANELLA",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD431090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.