Active NPI
Philip A Didomenico, DC
- Chiropractor
- Pittsburgh, PA
National Provider Identifier
1861597940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007863L
- Practice address
- 874 Butler St
Ste 1
Pittsburgh, PA 15223-1340 - Phone
- (412) 781-3150
- Fax
- (412) 781-3156
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007863L | PA | Primary |
Addresses
Primary practice location
874 Butler St
Ste 1
Pittsburgh, PA 15223-1340
Mailing address
874 Butler St
Ste 1
Pittsburgh, PA 15223-1340
Phone (412) 781-3150
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002269915-003 | Other | UNITED HEALTHCARE | |
| 1038513 | Other | AMERICAN SPECIALTY HEALTH | |
| 7838854 | Other | CIGNA | |
| 813602 | Other | HIGHMARK | |
| 1015637760001 | Medicaid | PA | |
| 318753 | Other | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
874 Butler St
Pittsburgh, PA 15223-1331
Phone (412) 781-3150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007863L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morreale Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Nerve Pain Centers of Western Pennsylvania | Past | Accepting new patients |
Locations
874 Butler St
Ste 1
Pittsburgh, PA 15223
Phone (412) 408-3788
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.
-
- Chiropractor
- Pittsburgh, PA
- NPI 1083886535
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1114466349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1861597940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 BUTLER ST",
"address_2": "STE 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152231340",
"telephone_number": "412-781-3150",
"fax_number": "412-781-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 BUTLER ST",
"address_2": "STE 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152231340",
"telephone_number": "412-781-3150",
"fax_number": "412-781-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDOMENICO",
"first_name": "PHILIP",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007863L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "002269915-003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1038513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7838854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "813602",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015637760001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "318753",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.