Individual provider Active NPI

Victor Edgardo Nieto, MD

  • Surgery Physician
  • Butler, PA
National Provider Identifier
1679547996
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD017802E Issued in PA
Practice address
129 Oneida Valley Rd
Suite 111
Butler, PA 16001-2252
Phone
(724) 431-4190
Fax
(724) 431-4192
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD017802E PA Primary

Addresses

Primary practice location

129 Oneida Valley Rd
Suite 111
Butler, PA 16001-2252

Mailing address

PO Box 1549
Butler, PA 16003-1549
Phone (724) 431-4190

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
I20050502000041 PA Practitioner - General Surgery 6305885161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

One Hospital Way 4TH Floor
BHS Women'S Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017802EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Aug 1, 2012 Accepting new patients
Butler Medical Providers CurrentSince Aug 1, 2012 Accepting new patients
Butler Medical Providers Current Accepting new patients

Locations

901 E Brady St
Ste 301
Butler, PA 16001
Phone (724) 282-6523

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

102 Technology Dr
Ste 210
Butler, PA 16001
Phone (724) 283-7177

129 Oneida Valley Rd
Ste 111
Butler, PA 16001
Phone (724) 431-4190

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Organizations & group practices 3

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 3

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1679547996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-431-4190",
            "fax_number": "724-431-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ONEIDA VALLEY RD",
            "address_2": "SUITE 111",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012252",
            "telephone_number": "724-431-4190",
            "fax_number": "724-431-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "VICTOR",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD017802E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.