Individual provider Active NPI

Nicholas Dicarlo

  • Physician Assistant
  • Wintersville, OH
National Provider Identifier
1649808098
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
148 Main St
Wintersville, OH 43953-3734
Phone
(740) 346-0270
Fax
(740) 346-2645
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 Primary

Addresses

Primary practice location

148 Main St
Wintersville, OH 43953-3734

Mailing address

2703 Whitehaven Blvd
Steubenville, OH 43952-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211102001392 OH Practitioner - Physician Assistant 8729476254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Trinity Hospital Holding CompanyGroup PAC ID 0244123834, 38 clinicians

Practice addresses (Care Compare)

150 Main St
Wintersville, OH 43953-3734
Phone (740) 346-2702

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Hospital Holding Company CurrentSince Nov 15, 2021 Accepting new patients
Trinity West PastSince Oct 31, 2021 Accepting new patients

Locations

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

380 Summit Ave
Fl 2
Steubenville, OH 43952
Phone (740) 283-7882

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

148 Main St
Wintersville, OH 43953
Phone (740) 346-0270

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.

Hospital & facility affiliations 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1649808098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 WHITEHAVEN BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533734",
            "telephone_number": "740-346-0270",
            "fax_number": "740-346-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-10-28",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.