NPIMap

Individual provider Active NPI

Martin Alejandro Fermin Violago Jr., M.D.

  • Family Medicine Physician
  • Canonsburg, PA
National Provider Identifier
1740475482
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD441721 Issued in PA
Practice address
400 Southpointe Blvd Ste 235
Canonsburg, PA 15317-8588
Phone
(724) 271-3700
Fax
(724) 271-3704
NPI assigned
Sep 6, 2007
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 MD441721 PA Primary

Addresses

Primary practice location

400 Southpointe Blvd Ste 235
Canonsburg, PA 15317-8588

Mailing address

400 Southpointe Blvd Ste 235
Canonsburg, PA 15317-8588
Phone (724) 271-3700

Other identifiers 1

IdentifierTypeStateIssuer
102576213MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mviolago20117@direct.ahn.org

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
I20110323000962 PA Practitioner - Family Practice 2062695349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

400 Southpointe Blvd
Suite 235
Canonsburg, PA 15317-8588
Phone (724) 271-3700

Hospital & facility affiliations

  • Allegheny Health Network Healthcare at Home Home Health Home health agency, Canonsburg, PA, CCN 398088
  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139
  • Ospta Hospice Hospice, Belle Vernon, PA, CCN 391766
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Havencrest Rehabilitation and Healthcare Center Nursing home, Monongahela, PA, CCN 395633
  • Greenery Center for Rehab and Nursing Nursing home, Canonsburg, PA, CCN 395695
  • Wecare at South Hills Rehabilitation and NRSG Ctr Nursing home, Canonsburg, PA, CCN 395289
  • Townview Health and Rehabilitation Center Nursing home, Canonsburg, PA, CCN 395823

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Greenery Operating LLC Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Havencrest Rehabilitation and Healthcare Center LLC Past Accepting new patients
Allegheny Clinic Past Accepting new patients
South Hills Opco LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Guardian Elder Care at Monongahela LLC Past Accepting new patients
Barr Street Corporation Past Accepting new patients

Locations

400 Southpointe Blvd
Ste 235
Canonsburg, PA 15317
Phone (724) 271-3700

36 E Pike St
Canonsburg, PA 15317
Phone (724) 745-9181

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

4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: mviolago20117@direct.ahn.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Havencrest Rehabilitation and Healthcare CenterMonongahela, PA, CCN 395633 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 24, 2025
Apr 24, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1740475482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTHPOINTE BLVD STE 235",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178588",
            "telephone_number": "724-271-3700",
            "fax_number": "724-271-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHPOINTE BLVD STE 235",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178588",
            "telephone_number": "724-271-3700",
            "fax_number": "724-271-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLAGO",
        "first_name": "MARTIN ALEJANDRO",
        "middle_name": "FERMIN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102576213",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mviolago20117@direct.ahn.org",
            "affiliation": "N",
            "address_1": "400 Southpointe Blvd Ste 235",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153178588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.