NPIMap

Individual provider Active NPI

Oleksandr Yergiyev, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Monongahela, PA
National Provider Identifier
1902195175
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MT195181 Issued in PA
Practice address
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone
(724) 258-1024
NPI assigned
Mar 28, 2011
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X MD448535 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD448535 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MT195181 PA Primary

Addresses

Primary practice location

1163 Country Club Rd
Monongahela, PA 15063-1013

Mailing address

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1024

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
I20151228001662 PA Practitioner - Pathology 5294036794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians

Practice addresses (Care Compare)

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD448535PAMDCytopathology Physician
MT195181PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monongahela Valley Hospital, Inc. Current Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Monongahela Valley Hospital, Inc. Cytopathology CurrentSince Jul 1, 2023 Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

Organizations & group practices 3

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1902195175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERGIYEV",
        "first_name": "OLEKSANDR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "PA",
            "license": "MD448535",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD448535",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT195181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.