Individual provider Active NPI

Michael Joseph Dziagwa I, NP-C

  • Family Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1649623679
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0716288 Issued in PA
Practice address
879 Hospital Rd
Indiana, PA 15701-3629
Phone
(724) 357-8198
Fax
(724) 357-8202
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0716288 PA Primary

Addresses

Primary practice location

879 Hospital Rd
Indiana, PA 15701-3629

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.dziagwa@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322001781 PA Practitioner - Nurse Practitioner 0042595654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

Hospital & facility affiliations

  • Visiting Nurse Association of Indiana County Home health agency, Indiana, PA, CCN 397097
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0716288PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc CurrentSince Jan 23, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Laurel Cardiology PC PastSince Jul 1, 2025 Accepting new patients
Indiana Regional Medical Center PastSince Dec 14, 2025 Accepting new patients

Locations

1570 Oakland Ave
Ste 103
Indiana, PA 15701
Phone (724) 357-8198

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

3840 William Penn Ave
Ste 10
Nanty Glo, PA 15943
Phone (814) 749-6385

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1649623679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-8198",
            "fax_number": "724-357-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIAGWA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_suffix": "I",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F0716288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dziagwa@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "879 Hospital Rd",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.