Eileen P Neely, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD043496E Issued in PA

Practice address

935 Thorn Run Rd
Suite 204
Coraopolis, PA 15108-2861

Phone

(412) 299-7400

Fax

(412) 299-8497

NPI assigned

Jul 24, 2006

Last updated

Feb 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eneely@direct.excelahealth.org

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.

• Pennsylvania Department of Human Services

  dba Polk Center

  • Intellectual Disabilities Intermediate Care Facility
  • Polk, PA
  • NPI 1851374698
  Medicare reassignment NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1811919137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "address_2": "SUITE 204",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-299-8400",
            "fax_number": "412-299-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "address_2": "SUITE 204",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-299-7400",
            "fax_number": "412-299-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "EILEEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD043496E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011877820013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Michelle Murtha, PHARMD
• Deidre Musolino, PTA
• Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr)
• Whitney Leigh Natali, PT
• Eric Wanjamah Ndichu, LICSW
• Leigh Niedergall, COTA/L
• Amanda Lucy Niemiec
• Ashley Nischwitz, OT
• Danielle Marie Noel, LPC
• Lori Noll

• Internal Medicine Physician in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.