NPIMap

Individual provider Active NPI

Michelle M Mouria, MD

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1861648974
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD448564 Issued in PA
Practice address
420 E North Ave Ste 304
Pittsburgh, PA 15212-4746
Phone
(412) 359-4068
Fax
(412) 359-6732
NPI assigned
Aug 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MTL-2017-073 GU
Surgery Physician 208600000X M-2074 GU
Surgery Physician 208600000X MD448564 PA Primary

Addresses

Primary practice location

420 E North Ave Ste 304
Pittsburgh, PA 15212-4746

Mailing address

420 E North Ave Ste 304
Pittsburgh, PA 15212-4746
Phone (412) 359-4068

Other practice location 1

145 Hospital Ave Ste 313
Du Bois, PA 15801-1465
Phone (814) 375-4000

Other identifiers 1

IdentifierTypeStateIssuer
102819400MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GU2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130628000588 PA Practitioner - General Surgery 4486785409 Reassigns benefits to 2 organizations
I20170828001586 GU Practitioner - General Surgery 4486785409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-9186

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center CurrentSince Sep 4, 2018 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Aug 15, 2017 Accepting new patients
Dubois Regional Medical Center Surgery CurrentSince Jun 19, 2019 Accepting new patients
Highlands Hospital and Health Center Surgery CurrentSince Sep 4, 2018 Accepting new patients
Dubois Regional Medical Center Surgery Past Accepting new patients
Lander Valley Physician Practices, LLC Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

145 Hospital Ave
Ste 313
Dubois, PA 15801
Phone (814) 375-4000

145 Hospital Ave
Ste 301
Dubois, PA 15801
Phone (814) 375-4000

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

Interoperability endpoints

  • Direct secure messaging: michelle.mouria.1@14821.direct.athenahealth.com

Organizations & group practices 6

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1861648974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-4068",
            "fax_number": "412-359-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-4068",
            "fax_number": "412-359-6732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Hospital Ave Ste 313",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011465",
            "country_code": "US",
            "telephone_number": "814-375-4000",
            "fax_number": "814-375-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURIA",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-09",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GU",
            "license": "MTL-2017-073",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GU",
            "license": "M-2074",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD448564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102819400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.