Individual provider Active NPI

Alissa Cowden Wilmot, M.D.

  • Anesthesiology Physician
  • Washington, PA
National Provider Identifier
1851596761
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD451001 Issued in PA
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(302) 332-8808
NPI assigned
Jun 19, 2007
Last updated
Feb 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD451001 PA Primary
Anesthesiology Physician 207L00000X MT 190144 PA
Anesthesiology Physician 207L00000X C10009739 DE
Pediatrics Physician 208000000X MT190144 PA

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

210 Chaucer CT S
Sewickley, PA 15143-8726
Phone (302) 332-8808

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
I20140718000019 PA Practitioner - Anesthesiology 6204008162 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KBS Anesthesia, Inc.Group PAC ID 1254719321, 56 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 741-6600

79 Wagner Rd
Monaca, PA 15061-2337
Phone (724) 624-9901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10009739DEMDAnesthesiology Physician
MT 190144PAMDAnesthesiology Physician
MT190144PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia Experts PC Anesthesiology CurrentSince Aug 21, 2019 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince May 16, 2016 Accepting new patients
KBS Anesthesia, Inc. Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Keystone Anesthesia Consultants, LTD Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

701 Boyce Rd
Bridgeville, PA 15017
Phone (412) 220-2336

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Organizations & group practices 5

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 8

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1851596761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHAUCER CT S",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438726",
            "telephone_number": "302-332-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "302-332-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "ALISSA",
        "middle_name": "COWDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD451001",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT 190144",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C10009739",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT190144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.