Individual provider Active NPI

Noah Ssemakula, MD

  • Pediatrics Physician
  • Roaring Spring, PA
National Provider Identifier
1639224371
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-061012-L Issued in PA
Practice address
Conemaugh Nason Medical Center
105 Nason Dr
Roaring Spring, PA 16673
Phone
(814) 224-2555
NPI assigned
Jan 24, 2007
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-061012-L PA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 44897 CO
Neonatal-Perinatal Medicine Physician 2080N0001X 01044552A IN

Addresses

Primary practice location

Conemaugh Nason Medical Center
105 Nason Dr
Roaring Spring, PA 16673

Mailing address

Conemaugh Nason Medical Center
105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2555

Other identifiers 3

IdentifierTypeStateIssuer
000000741712OtherINANTHEM PROVIDER NUMBER FOR TIN 35-2030653
200849110MedicaidIN
000000647540OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-061012-LPAMDPediatrics Physician
44897COMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nason Physician Practices LLC Current Accepting new patients
Nason Physician Practices LLC CurrentSince Mar 1, 2019 Accepting new patients
Nason Physician Practices LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-2555

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Interoperability endpoints

  • Direct secure messaging: nssemaku@yourcarecommunity.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1639224371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONEMAUGH NASON MEDICAL CENTER",
            "address_2": "105 NASON DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "16673",
            "telephone_number": "814-224-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONEMAUGH NASON MEDICAL CENTER",
            "address_2": "105 NASON DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "16673",
            "telephone_number": "814-224-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SSEMAKULA",
        "first_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-061012-L",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CO",
            "license": "44897",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01044552A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER FOR TIN 35-2030653",
            "identifier": "000000741712",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200849110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000647540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

Verify at the official NPI Registry.