Active NPI
Noah Ssemakula, MD
- Pediatrics Physician
- Roaring Spring, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-061012-L
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000741712 | Other | IN | ANTHEM PROVIDER NUMBER FOR TIN 35-2030653 |
| 200849110 | Medicaid | IN | |
| 000000647540 | Other | IN | ANTHEM |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-061012-L | PA | MD | Pediatrics Physician |
| 44897 | CO | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nason Physician Practices LLC | Current | Accepting new patients | |
| Nason Physician Practices LLC | Current | Accepting new patients | |
| Nason Physician Practices LLC | Current | 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
- 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.
-
dba Nason OBGYN
- Obstetrics & Gynecology Physician
- Roaring Spring, PA
- NPI 1306236609
-
dba Nason Physician Practice-ER
- Emergency Medicine Physician
- Roaring Spring, PA
- NPI 1346752284
-
dba Conemaugh Nason Physician Group
- Rural Health Clinic/Center
- Claysburg, PA
- NPI 1700260114
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.