Individual provider Active NPI

James William Marcucci, MD

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1801856034
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD018552E Issued in PA
Practice address
363 Vanadium Rd
Pittsburgh, PA 15243-1497
Phone
(412) 429-8840
Fax
(412) 429-8067
NPI assigned
Mar 23, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD018552E PA Primary

Addresses

Primary practice location

363 Vanadium Rd
Pittsburgh, PA 15243-1497

Mailing address

1000 Bower Hill Road
Attn St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

3928 Washington Rd Ste 270
Canonsburg, PA 15317-2593
Phone (412) 429-8840

Other identifiers 1

IdentifierTypeStateIssuer
0008103230001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20050509000418 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183698962 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Sep 1, 2020 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Sep 1, 2020 Accepting new patients

Locations

3928 Washington Rd
Ste 270
McMurray, PA 15317
Phone (412) 429-8840

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

363 Vanadium Rd
Ste 300
Pittsburgh, PA 15243
Phone (412) 429-8840

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1801856034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548",
            "fax_number": "412-429-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 VANADIUM RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431497",
            "telephone_number": "412-429-8840",
            "fax_number": "412-429-8067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3928 Washington Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153172593",
            "country_code": "US",
            "telephone_number": "412-429-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUCCI",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD018552E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008103230001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "363 Vanadium Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.