NPIMap

Individual provider Active NPI

Patrick D Roberto, DPM

  • Podiatrist
  • Delmont, PA
National Provider Identifier
1750330759
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003807R Issued in PA
Practice address
2402 State Rte 66
Delmont, PA 15626-1464
Phone
(724) 468-5368
Fax
(724) 468-5388
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003807R PA Primary

Addresses

Primary practice location

2402 State Rte 66
Delmont, PA 15626-1464

Mailing address

2402 State Rte 66
Delmont, PA 15626-1464
Phone (724) 468-5368

Other identifiers 1

IdentifierTypeStateIssuer
014407645MedicaidPA

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
I20080731000688 PA Practitioner - Podiatry 6406850544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S St
Greensburg, PA 15601-2775
Phone (724) 830-8527

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue323
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Academy of Podiatry Podiatrist PastSince Jun 19, 1997 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

530 South St
Greensburg, PA 15601
Phone (724) 830-8527

530 South St
Ste 140
Greensburg, PA 15601
Phone (724) 830-8527

490 S Church St
Mt Pleasant, PA 15666
Phone (724) 542-1930

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1750330759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 STATE RTE 66",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261464",
            "telephone_number": "724-468-5368",
            "fax_number": "724-468-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 STATE RTE 66",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261464",
            "telephone_number": "724-468-5368",
            "fax_number": "724-468-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003807R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014407645",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmont, PA

Sources for this page

Verify at the official NPI Registry.