Individual provider Active NPI

Mia Capuzzi, PA-C

  • Medical Physician Assistant
  • Somerset, PA
National Provider Identifier
1710617816
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063598 Issued in PA
Practice address
314 S Kimberly Ave
Somerset, PA 15501-2223
Phone
(814) 443-8266
Fax
(814) 443-8261
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063598 PA Primary

Addresses

Primary practice location

314 S Kimberly Ave
Somerset, PA 15501-2223

Mailing address

314 S Kimberly Ave
Somerset, PA 15501-2223
Phone (814) 443-8266

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714000395 PA Practitioner - Physician Assistant 7113308768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA063598PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Nov 20, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 20, 2022 Accepting new patients
Oncology Hematology Association Inc CurrentSince Jun 6, 2022 Accepting new patients
Oncology Hematology Association CurrentSince Jun 6, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

314 S Kimberly Ave
Somerset, PA 15501
Phone (814) 443-8266

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1710617816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S KIMBERLY AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012223",
            "telephone_number": "814-443-8266",
            "fax_number": "814-443-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S KIMBERLY AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012223",
            "telephone_number": "814-443-8266",
            "fax_number": "814-443-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUZZI",
        "first_name": "MIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.