Active NPI
Bartolomucci Family Medicine PLLC
- Adult Medicine Physician
- Greensburg, PA
National Provider Identifier
1831787399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- BARTOLOMUCCI FAMILY MEDICINE PLLC
- Practice address
- 120 Village Dr
Greensburg, PA 15601-3787 - Phone
- (244) 205-9287
- Fax
- (724) 219-3120
- NPI assigned
- Jan 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Michael Bartolomucci, DO
- Title
- Physician
- Phone
- (724) 420-5928
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
120 Village Dr
Greensburg, PA 15601-3787
Mailing address
120 Village Dr
Greensburg, PA 15601-3787
Phone (412) 554-8451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001467641 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210607000064 | PA | Part B Supplier - Clinic/Group Practice | 3577962968 |
Receives reassigned benefits from 3 practitioners Practice locations: Greensburg, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2217193 | Bartolomucci Family Medicine | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621555200000",
"number": "1831787399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 VILLAGE DR",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156013787",
"telephone_number": "412-554-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 VILLAGE DR",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156013787",
"telephone_number": "244-205-9287",
"fax_number": "724-219-3120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTOLOMUCCI FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-08",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A",
"authorized_official_last_name": "BARTOLOMUCCI",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "724-420-5928",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001467641",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.