Individual provider Active NPI

Rebecca Sally, PA-C

  • Physician Assistant
  • MC Murray, PA
National Provider Identifier
1730463530
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054990 Issued in PA
Practice address
222 E McMurray Rd
MC Murray, PA 15317-2948
Phone
(724) 969-2500
Fax
(724) 969-2510
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054990 PA Primary

Addresses

Primary practice location

222 E McMurray Rd
MC Murray, PA 15317-2948

Mailing address

222 E McMurray Rd
MC Murray, PA 15317-2948
Phone (724) 969-2500

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
I20160111002235 PA Practitioner - Physician Assistant 3577738939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark P. Seraly, MD, PCGroup PAC ID 6204021843, 6 clinicians

Practice addresses (Care Compare)

222 E McMurray Rd
MC Murray, PA 15317-2948
Phone (724) 969-2500

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
78.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054990PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zitelli & Brodland PC PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1730463530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-969-2500",
            "fax_number": "724-969-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-969-2500",
            "fax_number": "724-969-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLY",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.