NPIMap

Individual provider Active NPI

Dawn Repko

  • Family Medicine Physician
  • Cresson, PA
National Provider Identifier
1710957097
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD071779L Issued in PA
Practice address
792 Gallitzin Rd
Cresson, PA 16630-2213
Phone
(814) 886-8161
NPI assigned
Jan 26, 2006
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 MD071779L PA Primary

Addresses

Primary practice location

792 Gallitzin Rd
Cresson, PA 16630-2213

Mailing address

792 Gallitzin Rd
Cresson, PA 16630-2213

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dawn.m.repko@upmcdirect.com UPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000589 PA Practitioner - Emergency Medicine 1355535576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

792 Gallitzin Rd
Cresson, PA 16630-2213
Phone (814) 886-8161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071779LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Family Medicine CurrentSince Mar 19, 2015 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Mar 19, 2015 Accepting new patients
Mainline Medical Associates, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mainline Medical Associates, Inc. Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

792 Gallitzin Rd
Cresson, PA 16630
Phone (814) 886-8161

Organizations & group practices 6

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 8

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1710957097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 GALLITZIN RD",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166302213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 GALLITZIN RD",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166302213",
            "telephone_number": "814-886-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKO",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071779L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.m.repko@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "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 Cresson, PA

Sources for this page

Verify at the official NPI Registry.