Individual provider Active NPI

Michael Leone, PA-C

  • Physician Assistant
  • Canonsburg, PA
National Provider Identifier
1861860017
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057911 Issued in PA
Practice address
615 E McMurray Rd
Canonsburg, PA 15317-3497
Phone
(724) 942-3996
NPI assigned
Sep 4, 2015
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057911 PA Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

615 E McMurray Rd
Canonsburg, PA 15317-3497

Mailing address

615 E McMurray Rd
Canonsburg, PA 15317-3497

Other practice location 1

575 Coal Valley Rd
Suite 277
Jefferson Hills, PA 15025-3730
Phone (412) 469-7722

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001792 PA Practitioner - Physician Assistant 0042510448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 22, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 22, 2022 Accepting new patients
Choice Chiropractic and Wellness Center Past Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1861860017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E MCMURRAY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153173497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E MCMURRAY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153173497",
            "telephone_number": "724-942-3996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Coal Valley Rd",
            "address_2": "Suite 277",
            "address_purpose": "LOCATION",
            "city": "Jefferson Hills",
            "state": "PA",
            "postal_code": "150253730",
            "country_code": "US",
            "telephone_number": "412-469-7722",
            "fax_number": "412-469-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2022-04-08",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057911",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.