Individual provider Active NPI

Ellen Saridakis Phillippi, DO

  • Family Medicine Physician
  • MC Murray, PA
National Provider Identifier
1861921397
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020548 Issued in PA
Practice address
1001 Waterdam Plaza Dr
MC Murray, PA 15317-2466
Phone
(724) 969-1001
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020548 PA Primary

Addresses

Primary practice location

1001 Waterdam Plaza Dr
MC Murray, PA 15317-2466

Mailing address

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410

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
I20200821000226 PA Practitioner - Family Practice 2264701770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

1001 Waterdam Plaza Dr
McMurray, PA 15317-2466
Phone (724) 969-1001

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

Hospital & facility affiliations

  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Upmc Greene Hospital, Waynesburg, PA, CCN 390150
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Family Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

1001 Waterdam Plaza Dr
McMurray, PA 15317
Phone (724) 969-1001

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Interoperability endpoints

  • Direct secure messaging: ellen.phillippi@whc.eclinicaldirectplus.com

Organizations & group practices 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1861921397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATERDAM PLAZA DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172466",
            "telephone_number": "724-969-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIDAKIS PHILLIPPI",
        "first_name": "ELLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.