Individual provider Active NPI

Philip A Gelacek, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Ford City, PA
National Provider Identifier
1871588087
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD020788E Issued in PA
Practice address
313 Ford St
Suite 2a
Ford City, PA 16226-1268
Phone
(724) 763-7144
Fax
(724) 763-7161
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD020788E PA Primary

Addresses

Primary practice location

313 Ford St
Suite 2a
Ford City, PA 16226-1268

Mailing address

313 Ford St
Suite 2a
Ford City, PA 16226-1268
Phone (724) 763-7144

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
I20040130000384 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 1254234834 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Oct 14, 2013 Accepting new patients
Philip a Gelacek MD PC Geriatric Medicine CurrentSince Jul 15, 1980 Accepting new patients
Upmc Community Medcine Inc CurrentSince Oct 14, 2013 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Philip a Gelacek MD & Associates PC Past Accepting new patients

Locations

904 Fourth Ave
Ford City, PA 16226
Phone 72476371443

313 Ford St
Ste 2A
Ford City, PA 16226
Phone (724) 763-7144

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

301 11th St
New Kensington, PA 15068
Phone (724) 334-3640

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: philip_gelacek@ea1e47e7.micromddirect.com

Organizations & group practices 5

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1871588087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 FORD ST",
            "address_2": "SUITE 2A",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261268",
            "telephone_number": "724-763-7144",
            "fax_number": "724-763-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FORD ST",
            "address_2": "SUITE 2A",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261268",
            "telephone_number": "724-763-7144",
            "fax_number": "724-763-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELACEK",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD020788E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ford City, PA

Sources for this page

Verify at the official NPI Registry.