Individual provider Active NPI

Thomas Gabriel Zelonis, DO

  • Family Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1710074349
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S004375L Issued in PA
Practice address
2403 South Park Rd
Bethel Park, PA 15102
Phone
(412) 835-3300
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S004375L PA Primary

Addresses

Primary practice location

2403 South Park Rd
Bethel Park, PA 15102

Mailing address

990 Higbee Dr Ste B-104
Bethel Park, PA 15102-2989
Phone (412) 854-7924

Other practice location 1

990 Higbee Dr Ste B-104
Bethel Park, PA 15102-2989
Phone (412) 854-7924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tzelonis191730@direct.ahn.org

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
I20100814000162 PA Practitioner - Family Practice 5496889339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S004375LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Dec 21, 2018 Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic Family Medicine CurrentSince Dec 21, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

990 Higbee Dr
Bethel Park, PA 15102
Phone (412) 854-7900

990 Higbee Dr
Ste 104B
Bethel Park, PA 15102

990 Higbee Dr
Ste B104
Bethel Park, PA 15102
Phone (412) 469-7110

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

3720 Brownsville Rd
Pittsburgh, PA 15227
Phone (412) 882-9455

Interoperability endpoints

  • Direct secure messaging: tzelonis191730@direct.ahn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1710074349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGBEE DR STE B-104",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022989",
            "telephone_number": "412-854-7924",
            "fax_number": "412-854-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SOUTH PARK RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "15102",
            "telephone_number": "412-835-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Higbee Dr Ste B-104",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "151022989",
            "country_code": "US",
            "telephone_number": "412-854-7924",
            "fax_number": "412-854-7926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELONIS",
        "first_name": "THOMAS",
        "middle_name": "GABRIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S004375L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tzelonis191730@direct.ahn.org",
            "affiliation": "N",
            "address_1": "990 Higbee Dr Ste B-104",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151022989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.