Individual provider Active NPI

Camille M Buonocore, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bethel Park, PA
National Provider Identifier
1760487797
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD044291E Issued in MO
Practice address
2000 Oxford Dr
Suite 200
Bethel Park, PA 15102-1827
Phone
(412) 942-2140
Fax
(412) 942-6027
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD044291E MO Primary

Addresses

Primary practice location

2000 Oxford Dr
Suite 200
Bethel Park, PA 15102-1827

Mailing address

PO Box 3445
Pittsburgh, PA 15230-3445
Phone (412) 937-8887

Other identifiers 10

IdentifierTypeStateIssuer
250391OtherPAUPMC
1003718OtherPAGATEWAY
1016962350002OtherPAMEDICAID GROUP NO
103537OtherPAPA MCR GROUP PTAN
4413728OtherPAAETNA
185577OtherPAUNISON
0734545OtherPACIGNA
469022OtherPABCBS
001400867MedicaidPA
P00357335OtherPARR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000527 PA Practitioner - Endocrinology 8123024320 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044291EMOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Endocrinology PC Endocrinology, Diabetes & Metabolism CurrentSince Sep 18, 2006 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2000 Oxford Dr
Ste 200
Bethel Park, PA 15102
Phone (412) 942-2140

1400 Locust St
Ste 5120
Pittsburgh, PA 15219
Phone (412) 232-3189

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1760487797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152303445",
            "telephone_number": "412-937-8887",
            "fax_number": "412-937-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 200",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-942-2140",
            "fax_number": "412-942-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOCORE",
        "first_name": "CAMILLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "MD044291E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "250391",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1003718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NO",
            "identifier": "1016962350002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MCR GROUP PTAN",
            "identifier": "103537",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4413728",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "185577",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0734545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "469022",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001400867",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00357335",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.