NPIMap

Organization Active NPI

Keystone Anesthesia Consultants, LTD

  • Anesthesiology Physician
  • Washington, PA
National Provider Identifier
1861450751
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KEYSTONE ANESTHESIA CONSULTANTS, LTD
Practice address
80 Landings Dr Ste 202
Washington, PA 15301-9408
Phone
(724) 969-0191
Fax
(724) 941-9089
NPI assigned
May 2, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
James Massucci, M,D.NPI 1134190382
Title
President
Phone
(412) 942-5786

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Pain Medicine Physician 208VP0000X
Interventional Pain Medicine Physician 208VP0014X

Addresses

Primary practice location

80 Landings Dr Ste 202
Washington, PA 15301-9408

Mailing address

2000 Oxford Dr
Suite 303
Bethel Park, PA 15102-1827
Phone (412) 942-5786

Other practice location 1

2000 Oxford Dr
Suite 303
Bethel Park, PA 15102-1827
Phone (412) 942-5786

Other identifiers 1

IdentifierTypeStateIssuer
009769480004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226000073 PA Part B Supplier - Clinic/Group Practice 2769378751 Receives reassigned benefits from 138 practitioners
Practice locations: Washington, PA; Sharon, PA; Pittsburgh, PA; Bethel Park, PA
O20220809000384 OH Part B Supplier - Clinic/Group Practice 2769378751 Receives reassigned benefits from 31 practitioners
Practice locations: Cortland, OH; Warren, OH

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2000 Oxford Dr
Ste 303
Bethel Park, PA 15102
Phone (412) 572-6066

159 Waterdam Rd
Ste 240
McMurray, PA 15317
Phone (724) 941-8702

1050 Bower Hill Rd
Ste 102
Pittsburgh, PA 15243
Phone (412) 942-1272

Practitioners & affiliated clinicians

Practitioners 165

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 165

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1861450751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 303",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-942-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LANDINGS DR STE 202",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019408",
            "telephone_number": "724-969-0191",
            "fax_number": "724-941-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Oxford Dr",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "151021827",
            "country_code": "US",
            "telephone_number": "412-942-5786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE ANESTHESIA CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MASSUCCI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-942-5786",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009769480004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.