Lee Teresa Dirienzo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055442 Issued in PA

Practice address

4324 Glades Pike
Somerset, PA 15501-1143

Phone

(814) 445-4585

Fax

(814) 443-2642

NPI assigned

Mar 2, 2012

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lee.dirienzo@primecare.medentdirect.com

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.

• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment
• Prime Care Providers LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1992353619
  Medicare reassignment
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609
  NPD
• DLP Conemaugh Physician Practices LLC

  dba CHI Gvozden

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1467868307
  NPD
• Ahn Emergency Group of Somerset County LTD

  • Emergency Medicine Physician
  • Somerset, PA
  • NPI 1902277254
  NPD (past)
• Neurological Institute of Western Pennsylvania PC

  dba N.I.W.P.

  • Neurology Physician
  • Greensburg, PA
  • NPI 1891787941
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1700150133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 GLADES PIKE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011143",
            "telephone_number": "814-445-4585",
            "fax_number": "814-443-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRIENZO",
        "first_name": "LEE",
        "middle_name": "TERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Delaini, LPC
• Justin Delaini, ATC, CSCS, PES
• Jayesh B Desai, MD
• Rebecca Carey Difebo, PHARM D
• Candice Joy Dipasquale, ATC
• Donald Andrew Disanta, DMD
• Allison L Dixon, DPT
• DLP Conemaugh Physician Practices LLC (Conemaugh Physicia Group - Highlands)
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group Somerset)
• Roxanne Rachel Dolan, PMHNP-C

• Medical Physician Assistant in Somerset, PA
• Providers in Somerset, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.