Individual provider Active NPI

Philip A Didomenico, DC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1861597940
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007863L Issued in PA
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

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002269915-003OtherUNITED HEALTHCARE
1038513OtherAMERICAN SPECIALTY HEALTH
7838854OtherCIGNA
813602OtherHIGHMARK
1015637760001MedicaidPA
318753OtherUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000194 PA Practitioner - Chiropractic 7719994540 Reassigns benefits to 1 organization

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
Morreale Chiropractic, LLCGroup PAC ID 9537323936, 2 clinicians

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

LicenseStateTypeSpecialty
DC007863LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Morreale Chiropractic, LLC Chiropractor CurrentSince Mar 28, 2012 Accepting new patients
Nerve Pain Centers of Western Pennsylvania PastSince Jun 1, 2017 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.

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.

Verify at the official NPI Registry.