Individual provider Active NPI

Michael Anselmi, CCP

  • Perfusionist
  • Pittsburgh, PA
National Provider Identifier
1669865556
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
PRF000149 Issued in PA
Practice address
1020 Madison Ave
Pittsburgh, PA 15212-4946
Phone
(412) 864-7766
Fax
(412) 321-0128
NPI assigned
Mar 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X PRF000149 PA Primary

Addresses

Primary practice location

1020 Madison Ave
Pittsburgh, PA 15212-4946

Mailing address

1020 Madison Ave
Pittsburgh, PA 15212-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PRF000149PAMDPerfusionist

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1669865556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MADISON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MADISON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124946",
            "telephone_number": "412-864-7766",
            "fax_number": "412-321-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMI",
        "first_name": "MICHAEL",
        "credential": "CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "PA",
            "license": "PRF000149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.