Individual provider Active NPI

Peter J Molloy, MD

  • Gastroenterology Physician
  • Butler, PA
National Provider Identifier
1912995168
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD038916E Issued in PA
Practice address
104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone
(724) 482-6062
Fax
(724) 482-6117
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD038916E PA Primary

Addresses

Primary practice location

104 Technology Dr
Suite 202
Butler, PA 16001-1801

Mailing address

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (724) 482-6062

Other identifiers 1

IdentifierTypeStateIssuer
0011595630010MedicaidPA

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
I20071026000089 PA Practitioner - Gastroenterology 5597852418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Gastroenterology AssociatesGroup PAC ID 2567457740, 26 clinicians

Practice addresses (Care Compare)

2589 Boyce Plaza Rd
Upper St Clair, PA 15241-4907
Phone (412) 838-0400

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Gastroenterology Current Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2017 Accepting new patients
Pittsburgh Gastroenterology Associates Gastroenterology CurrentSince Oct 24, 2024 Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Keystone Digestive Disorder Consultants, PC Gastroenterology Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

104 Technology Dr
Ste 202
Butler, PA 16001
Phone (724) 482-6062

102 Technology Dr
Ste 230
Butler, PA 16001
Phone (724) 283-0076

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

304 Evans Dr
Ste 401
Ellwood City, PA 16117
Phone (724) 752-6856

2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241
Phone (412) 232-8104

Interoperability endpoints

  • Direct secure messaging: petermolloy@bg.allscriptsdirect.net
  • Direct secure messaging: petermolloy@pga.allscriptsdirect.net

Organizations & group practices 7

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 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1912995168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-6062",
            "fax_number": "724-482-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-6062",
            "fax_number": "724-482-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD038916E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011595630010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.