Individual provider Active NPI

Emmanouel J Coroneos, MD

  • Nephrology Physician
  • Pittsburgh, PA
National Provider Identifier
1861478091
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD072907L Issued in PA
Practice address
372 N Craig St Ste 101
Pittsburgh, PA 15213-1245
Phone
(412) 683-7560
Fax
(412) 683-6992
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-072907-L PA
Nephrology Physician 207RN0300X 20507 WV
Nephrology Physician 207RN0300X MD072907L PA Primary

Addresses

Primary practice location

372 N Craig St Ste 101
Pittsburgh, PA 15213-1245

Mailing address

372 N Craig St Ste 101
Pittsburgh, PA 15213-1245
Phone (412) 683-7560

Other identifiers 2

IdentifierTypeStateIssuer
0018374200001MedicaidPA
3002230000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060614000035 WV Practitioner - Nephrology 3476565359 Reassigns benefits to 1 organization
I20100115000592 PA Practitioner - NephrologyPractitioner - Internal Medicine 3476565359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Kidney Care Medical Associates PCGroup PAC ID 2365345717, 2 clinicians

Practice addresses (Care Compare)

206 American Way
Suite 5
Weirton, WV 26062-4085
Phone (304) 723-2557

27 Heckel Rd
Suite 111
MC Kees Rocks, PA 15136-1672
Phone (412) 771-2970

485 Colliers Way
Suite a
Weirton, WV 26062-5012
Phone (304) 723-2557

Hospital & facility affiliations

  • Fresenius Kidney Care Weirton Dialysis facility, Weirton, WV, CCN 512552
  • Innovative Renal Care Ohio Valley Hospital Dialysis facility, McKees Rocks, PA, CCN 392759
  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037
  • Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Select Specialty Hospital - Weirton Long-term care hospital, Weirton, WV, CCN 512005

Merit-based Incentive Payment System (MIPS)

Final score
23.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-072907-LPAMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: ecoroneos643455@direct.wvuhsdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1861478091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 N CRAIG ST STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131245",
            "telephone_number": "412-683-7560",
            "fax_number": "412-683-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 N CRAIG ST STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131245",
            "telephone_number": "412-683-7560",
            "fax_number": "412-683-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONEOS",
        "first_name": "EMMANOUEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD-072907-L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "20507",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD072907L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018374200001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002230000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.