NPIMap

Individual provider Active NPI

Lou Rornolo Mastrine, DO

  • Clinical Cardiac Electrophysiology Physician
  • Johnstown, PA
National Provider Identifier
1891955308
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
OS017717 Issued in PA
Practice address
1123 Franklin St
Johnstown, PA 15905-4309
Phone
(814) 539-5340
NPI assigned
Jun 10, 2008
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X )S017717 PA
Clinical Cardiac Electrophysiology Physician 207RC0001X OS017717 PA Primary

Addresses

Primary practice location

1123 Franklin St
Johnstown, PA 15905-4309

Mailing address

2151 Menoher Blvd
Johnstown, PA 15905-1628
Phone (814) 932-2926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150821012960 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 4587979471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Tech Park Dr
Johnstown, PA 15901-2515
Phone (814) 475-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
)S017717PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Jan 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2020 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Dec 1, 2025 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Cardiovascular Disease CurrentSince Nov 20, 2015 Accepting new patients
Johnstown Cardiovascular Associates Inc Cardiovascular Disease CurrentSince Sep 1, 2015 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Nov 20, 2015 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1 Tech Park Dr
Johnstown, PA 15901
Phone (814) 475-8600

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1123 Franklin St
Johnstown, PA 15905
Phone (814) 535-3561

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

Interoperability endpoints

  • Direct secure messaging: lmastrine14861@direct.conemaugh.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1891955308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051628",
            "telephone_number": "814-932-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054309",
            "telephone_number": "814-539-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRINE",
        "first_name": "LOU",
        "middle_name": "RORNOLO",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": ")S017717",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "OS017717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.