NPIMap

Individual provider Active NPI

Nicholas Jovanovich

  • Internal Medicine Physician
  • Burgettstown, PA
National Provider Identifier
1679884290
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS016665 Issued in PA
Practice address
560 Steubenville Pike
Burgettstown, PA 15021-8539
Phone
(724) 947-5350
NPI assigned
Jun 29, 2010
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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 OS016665 PA Primary

Addresses

Primary practice location

560 Steubenville Pike
Burgettstown, PA 15021-8539

Mailing address

651 Colliers Way Ste 300
Weirton, WV 26062-5058
Phone (304) 797-6535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address njovanovich516757@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130918000358 PA Practitioner - Internal Medicine 4385888114 Reassigns benefits to 1 organization
I20230721001321 WV Practitioner - Internal Medicine 4385888114

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

560 Steubenville Pike
Burgettstown, PA 15021-8539
Phone (740) 266-9411

601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
WMC Physician Practices LLC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Upmc Hamot Past Accepting new patients
Weirton Medical Center, Inc Past Accepting new patients

Locations

560 Steubenville Pike
Paris, PA 15021
Phone (724) 947-5350

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

Organizations & group practices 4

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 10

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1679884290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 STEUBENVILLE PIKE",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150218539",
            "telephone_number": "724-947-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVICH",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2026-08-14",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njovanovich516757@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burgettstown, PA

Sources for this page

Verify at the official NPI Registry.