NPIMap

Individual provider Active NPI

Suzana Stepanek, M.D.

  • Internal Medicine Physician
  • Ligonier, PA
National Provider Identifier
1679511091
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
062765L Issued in PA
Practice address
210 West Church Street
Ligonier, PA 15658
Phone
(724) 238-5667
Fax
(888) 364-8834
NPI assigned
Jun 4, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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 062765L PA Primary

Addresses

Primary practice location

210 West Church Street
Ligonier, PA 15658

Mailing address

210 West Church Street
Ligonier, PA 15658
Phone (724) 238-5667

Other identifiers 1

IdentifierTypeStateIssuer
964901OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000226 PA Practitioner - Internal Medicine 9335186279 Reassigns benefits to 1 organization
Practice locations: Ligonier, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 W Church St
Ligonier, PA 15658-1106
Phone (724) 238-5667

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
062765LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suzana Stepanek MD CurrentSince Jan 5, 2021 Accepting new patients
Excela Health Physician Practices, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients
Prakash K Vin MD PC Internal Medicine Past Accepting new patients

Locations

210 W Church St
Ligonier, PA 15658
Phone (724) 238-2121

Interoperability endpoints

  • Direct secure messaging: sstepanek@direct.excelahealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1679511091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WEST CHURCH STREET",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "15658",
            "telephone_number": "724-238-5667",
            "fax_number": "888-364-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST CHURCH STREET",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "15658",
            "telephone_number": "724-238-5667",
            "fax_number": "888-364-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANEK",
        "first_name": "SUZANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "062765L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "964901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

Verify at the official NPI Registry.