Individual provider Active NPI

Marc Buzzelli, MD

  • Diagnostic Radiology Physician
  • Morgantown, WV
National Provider Identifier
1801184064
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD458541 Issued in PA
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(412) 980-5495
Fax
(412) 259-8662
NPI assigned
Jul 21, 2011
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD
Diagnostic Radiology Physician 2085R0202X MD458541 PA Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

PO Box 9235
Wvu Department of Radiology
Morgantown, WV 26506-9235
Phone (412) 980-5495

Other identifiers 1

IdentifierTypeStateIssuer
103126152MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160825000126 PA Practitioner - Diagnostic Radiology 1658517412 Reassigns benefits to 4 organizations
I20211115001418 WV Practitioner - Diagnostic Radiology 1658517412 Reassigns benefits to 2 organizations
I20251103001326 OH Practitioner - Diagnostic Radiology 1658517412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, shared by 2 NPIs, 309 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

451 Murtha Dr
Waynesburg, PA 15370-7010
Phone (855) 988-2273

500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 487-7000

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30883WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 9, 2021 Accepting new patients
South Hills Radiology Associates Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Nov 9, 2021 Accepting new patients
Fayette Physician Network Inc CurrentSince May 1, 2025 Accepting new patients
St Clair Medical Services, Inc. Diagnostic Radiology Current Accepting new patients
St Clair Medical Services Inc CurrentSince Jan 1, 2017 Accepting new patients
St Clair Hospital Upmc Cancer Center Petct CurrentSince Jan 1, 2017 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Fayette Physician Network Inc CurrentSince May 1, 2025 Accepting new patients
Allegheny Radiology Associates, LTD Diagnostic Radiology Past Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

451 Murtha Dr
Waynesburg, PA 15370
Phone (304) 598-4253

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mbuzzelli292435@direct.wvuhsdirect.com

Organizations & group practices 10

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 9

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1801184064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9235",
            "address_2": "WVU DEPARTMENT OF RADIOLOGY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069235",
            "telephone_number": "412-980-5495",
            "fax_number": "412-259-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "412-980-5495",
            "fax_number": "412-259-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZELLI",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD458541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103126152",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.