Individual provider Active NPI

Angelo Daniel Lupariello, M.D.

  • Nephrology Physician
  • Pittsburgh, PA
National Provider Identifier
1649256926
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD015449-E Issued in PA
Practice address
372 N Craig St Ste 101
Pittsburgh, PA 15213-1245
Phone
(412) 683-1278
Fax
(412) 683-6992
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD015449-E PA Primary

Addresses

Primary practice location

372 N Craig St Ste 101
Pittsburgh, PA 15213-1245

Mailing address

372 N Craig St Ste 101
Pittsburgh, PA 15213-1245
Phone (412) 683-1278

Other identifiers 2

IdentifierTypeStateIssuer
0008106640005MedicaidPA
0087893000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060615000021 WV Practitioner - Nephrology 8527961143 Reassigns benefits to 1 organization
I20060621000136 PA Practitioner - Nephrology 8527961143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Georgetown University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Kidney Care Medical Associates PCGroup PAC ID 2365345717, 2 clinicians

Practice addresses (Care Compare)

27 Heckel Rd
Suite 111
MC Kees Rocks, PA 15136-1672
Phone (412) 771-2970

485 Colliers Way
Suite a
Weirton, WV 26062-5012
Phone (304) 723-2557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD015449-EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc PastSince Nov 1, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alupariello643231@direct.wvuhsdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1649256926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 N CRAIG ST STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131245",
            "telephone_number": "412-683-1278",
            "fax_number": "412-683-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 N CRAIG ST STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131245",
            "telephone_number": "412-683-1278",
            "fax_number": "412-683-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPARIELLO",
        "first_name": "ANGELO",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD015449-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008106640005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087893000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.