Individual provider Active NPI

Angelo Constantino, MD MPH

  • Internal Medicine Physician
  • Blawnox, PA
National Provider Identifier
1669479283
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042865E Issued in PA
Practice address
121 Freeport Rd Ste 200
Blawnox, PA 15238-3485
Phone
(412) 784-2323
Fax
(412) 784-2320
NPI assigned
Jun 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042865E PA Primary

Addresses

Primary practice location

121 Freeport Rd Ste 200
Blawnox, PA 15238-3485

Mailing address

103 Buckingham Rd
Office Suite 1500
Pittsburgh, PA 15215-1505
Phone (412) 578-0270

Other identifiers 1

IdentifierTypeStateIssuer
1244691MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angelo.constantino@upmcdirect.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000471 PA Practitioner - Internal Medicine 4981691581 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4815 Liberty Ave
115 Mellon Pavillion
Pittsburgh, PA 15224-2032

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: angelo.constantino@upmcdirect.com

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1669479283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BUCKINGHAM RD",
            "address_2": "OFFICE SUITE 1500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152151505",
            "telephone_number": "412-578-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383485",
            "telephone_number": "412-784-2323",
            "fax_number": "412-784-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042865E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1244691",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelo.constantino@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Freeport Rd Ste 200",
            "city": "Blawnox",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152383485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blawnox, PA

Sources for this page

Verify at the official NPI Registry.