Individual provider Active NPI

Anthony J Pipitone, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Brookpark, OH
National Provider Identifier
1912918095
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
34-002990 Issued in OH
Practice address
15900 Snow Rd
Brookpark, OH 44142-2859
Phone
(216) 925-0608
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 34-002990 OH Primary

Addresses

Primary practice location

15900 Snow Rd
Brookpark, OH 44142-2859

Mailing address

7453 Lascala Dr
Hudson, OH 44236-1846
Phone (330) 650-2785

Other practice location 1

6847 N Chestnut St
Ravenna, OH 44266-3929
Phone (330) 297-0811

Other identifiers 2

IdentifierTypeStateIssuer
0639894MedicaidOH
00000026967OtherOHANTHEM PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthonypipitone@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090617000004 OH Practitioner - Emergency Medicine 7810964988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-002990OHMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: apipitone36785@ehrdirect.uhhospitals.org

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, 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1912918095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7453 LASCALA DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361846",
            "telephone_number": "330-650-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SNOW RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422859",
            "telephone_number": "216-925-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6847 N Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442663929",
            "country_code": "US",
            "telephone_number": "330-297-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPITONE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OH",
            "license": "34-002990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0639894",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "00000026967",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthonypipitone@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "15900 Snow Rd",
            "city": "Brookpark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441422859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookpark, OH

Sources for this page

Verify at the official NPI Registry.