Active NPI
Kelly Jean Bisceglia, PA-C
- Surgical Physician Assistant
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA065451
- Practice address
- 2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500 - Phone
- (412) 858-3070
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA065451 | PA | Primary |
Addresses
Primary practice location
2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500
Mailing address
2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500
Phone (412) 858-3070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16221626 | Other | CAQH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2566 Haymaker Rd
Suite 107
Monroeville, PA 15146-3553
Phone (412) 858-4150
2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656
320 E N Ave
Pittsburgh, PA 15212-4756
Hospital & facility affiliations
- Forbes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065451 | PA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
2580 Haymaker Rd
Ste 304
Monroeville, PA 15146
Phone (412) 578-4341
2566 Haymaker Rd
Ste 304
Monroeville, PA 15146
Phone (412) 457-0040
2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000
320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901
420 E North Ave
Ste 304
Pittsburgh, PA 15212
Phone (412) 359-4022
Interoperability endpoints
- kbisceglia905574@direct.ahn.org
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Pediatric Otolaryngology Physician
- Pittsburgh, PA
- NPI 1699762112
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1629078332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroeville, PA
- NPI 1679592380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1780444752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 HAYMAKER RD STE 304",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463500",
"telephone_number": "412-858-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 HAYMAKER RD STE 304",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463500",
"telephone_number": "412-858-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISCEGLIA",
"first_name": "KELLY",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA065451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16221626",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.