NPIMap

Individual provider Active NPI

Oleg Cooley, PA-C

  • Surgical Physician Assistant
  • Somerset, PA
National Provider Identifier
1780695684
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA001256L Issued in PA
Practice address
126 E Church St Ste 2100
Somerset, PA 15501-2271
Phone
(814) 443-1281
Fax
(814) 443-3214
NPI assigned
Aug 10, 2006
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 MA001256L PA Primary

Addresses

Primary practice location

126 E Church St Ste 2100
Somerset, PA 15501-2271

Mailing address

126 E Church St Ste 2100
Somerset, PA 15501-2271
Phone (814) 443-1281

Other identifiers 1

IdentifierTypeStateIssuer
001452375OtherPABLUE SHIELD PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oleg.cooley@upmcdirect.com Health Information Exchange (HIE)

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
I20070730000679 PA Practitioner - Physician Assistant 9133220437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation Systems LLCGroup PAC ID 4486547163, 71 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

12580 National Pike
Grantsville, MD 21536-3310
Phone (301) 895-5793

126 E Church St
Somerset, PA 15501-2271

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services Inc CurrentSince Sep 28, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

126 E Church St
Ste 2100
Somerset, PA 15501
Phone (814) 443-1281

Interoperability endpoints

  • Direct secure messaging: ocooley64596@upmc.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1780695684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST STE 2100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012271",
            "telephone_number": "814-443-1281",
            "fax_number": "814-443-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST STE 2100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012271",
            "telephone_number": "814-443-1281",
            "fax_number": "814-443-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "OLEG",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA001256L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "001452375",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oleg.cooley@upmcdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "126 E Church St Ste 2100",
            "city": "Somerset",
            "state": "PA",
            "country_code": "US",
            "postal_code": "155012271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.