NPIMap

Organization Active NPI

Heritage Valley Pediatrics, Inc.

  • Pediatrics Physician
  • Monaca, PA
National Provider Identifier
1689621401
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HERITAGE VALLEY PEDIATRICS, INC.
Practice address
79 Wagner Rd Ste 200
Monaca, PA 15061-2338
Phone
(724) 774-4070
Fax
(724) 774-2872
NPI assigned
May 27, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Mr. Norman F Mitry
Title
President and Ceo
Phone
(724) 773-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

79 Wagner Rd Ste 200
Monaca, PA 15061-2338

Mailing address

2 Peartree Way
Beaver, PA 15009-1954
Phone (724) 773-6802

Other identifiers 2

IdentifierTypeStateIssuer
1007289980001MedicaidPA
1007289980010MedicaidPA

Other names 1

  • Tri State Pediatric Associates Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000118 PA Part B Supplier - Clinic/Group Practice 4486662699 Receives reassigned benefits from 7 practitioners
Practice locations: Monaca, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0681962Heritage Valley Pediatrics79 Wagner Rd, Ste 200, Monaca, PA 15061Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

15700 State Route 170
Ste C
Calcutta, OH 43920
Phone (330) 382-1224

304 Evans Dr
Ste 403
Ellwood City, PA 16117
Phone (724) 752-5274

525 Locust Pl
Sewickley, PA 15143
Phone (412) 741-2622

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1689621401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PEARTREE WAY",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091954",
            "telephone_number": "724-773-6802",
            "fax_number": "724-770-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAGNER RD STE 200",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612338",
            "telephone_number": "724-774-4070",
            "fax_number": "724-774-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "724-773-4779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007289980001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007289980010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Pediatric Associates Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.