Individual provider Active NPI

Meredith Trabold, PA-C

  • Physician Assistant
  • MC Donald, PA
National Provider Identifier
1760050637
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005676 Issued in PA
Practice address
8050 Noblestown Rd
MC Donald, PA 15057-2285
Phone
(724) 926-3320
Fax
(724) 926-0146
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005676 PA Primary
Family Medicine Physician 207Q00000X OA005676 PA

Addresses

Primary practice location

8050 Noblestown Rd
MC Donald, PA 15057-2285

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

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
I20210629000594 PA Practitioner - Physician Assistant 7214338227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
90.46
Promoting interoperability
100
Improvement activities
40
Cost
78.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA005676PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. CurrentSince Jun 14, 2021 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Jan 28, 2024 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Jun 14, 2021 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine PastSince Jun 22, 2021 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

8050 Noblestown Rd
Mc Donald, PA 15057
Phone (724) 926-3320

8050 Noblestown Rd
#102
Mc Donald, PA 15057
Phone (724) 227-3075

Interoperability endpoints

  • Direct secure messaging: meredithtraboldpac@preferred.medentdirect.com

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1760050637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 NOBLESTOWN RD",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150572285",
            "telephone_number": "724-926-3320",
            "fax_number": "724-926-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABOLD",
        "first_name": "MEREDITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005676",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OA005676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Donald, PA

Sources for this page

Verify at the official NPI Registry.