Individual provider Active NPI

Stephen J Bisacco, MD

  • Obstetrics & Gynecology Physician
  • Altoona, PA
National Provider Identifier
1861479164
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD028089E Issued in PA
Practice address
2918 6TH Ave
Altoona, PA 16602-1917
Phone
(814) 944-6055
Fax
(814) 944-1912
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD028089E PA Primary

Addresses

Primary practice location

2918 6TH Ave
Altoona, PA 16602-1917

Mailing address

2918 6TH Ave
Altoona, PA 16602-1917
Phone (814) 944-6055

Other identifiers 5

IdentifierTypeStateIssuer
104311OtherPAUPMC
61954OtherPATHREE RIVERS-UNISON
0008890560001MedicaidPA
197314OtherPAHIGHMARK
1020321OtherPAGATEWAY

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
I20110128000096 PA Practitioner - Obstetrics/Gynecology 8224217898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Services of Roaring SpringGroup PAC ID 0648632828, 2 clinicians

Practice addresses (Care Compare)

878 Pine Heights St
Roaring Spring, PA 16673-2105
Phone (814) 710-8140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD028089EPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Services of Roaring Spring CurrentSince Jul 5, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

878 Pine Heights St
Roaring Spring, PA 16673
Phone (814) 710-8140

Interoperability endpoints

  • Direct secure messaging: drbisacoo@whsrs.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861479164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021917",
            "telephone_number": "814-944-6055",
            "fax_number": "814-944-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021917",
            "telephone_number": "814-944-6055",
            "fax_number": "814-944-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISACCO",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD028089E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "104311",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS-UNISON",
            "identifier": "61954",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008890560001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "197314",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1020321",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.