Individual provider Active NPI

Kelly Jean Bisceglia, PA-C

  • Surgical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1780444752
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA065451 Issued in PA
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

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16221626OtherCAQH

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
I20240702000929 PA Practitioner - Physician Assistant 0547704561 Reassigns benefits to 1 organization

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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

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 Hospital, Monroeville, PA, CCN 390267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065451PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jun 3, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jun 3, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.