Individual provider Active NPI

Anthony Thomas Sciulli, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1649753807
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060589 Issued in PA
Practice address
University Drive C
Pittsburgh, PA 15240-1003
Phone
(412) 360-6700
Fax
(412) 360-6898
NPI assigned
Sep 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060589 PA Primary

Addresses

Primary practice location

University Drive C
Pittsburgh, PA 15240-1003

Mailing address

4815 Liberty Ave Ste 215
Pittsburgh, PA 15224-2156
Phone (412) 235-5900

Other identifiers 1

IdentifierTypeStateIssuer
15449265OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asciulli675457@direct.novanthealth.org

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
I20190408001080 PA Practitioner - Physician Assistant 6406197144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Sep 7, 2021 Accepting new patients
Allegheny Clinic CurrentSince Sep 7, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4815 Liberty Ave
Ste 425
Pittsburgh, PA 15224
Phone (412) 359-4352

4815 Liberty Ave
Ste 215
Pittsburgh, PA 15224
Phone (412) 235-5900

Interoperability endpoints

  • Direct secure messaging: asciulli675457@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1649753807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 215",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-235-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DRIVE C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152401003",
            "telephone_number": "412-360-6700",
            "fax_number": "412-360-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIULLI",
        "first_name": "ANTHONY",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15449265",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asciulli675457@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "185 Kimel Park Dr Ste 201",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.