NPIMap

Individual provider Active NPI

Phillip G Painley, D.O.

  • Interventional Cardiology Physician
  • Wexford, PA
National Provider Identifier
1922165711
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS013920 Issued in PA
Practice address
12311 Perry Hwy
Wexford, PA 15090-8344
Phone
(878) 332-4214
Fax
(878) 332-4468
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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 OS013920 PA
Interventional Cardiology Physician 207RI0011X OS013920 PA Primary

Addresses

Primary practice location

12311 Perry Hwy
Wexford, PA 15090-8344

Mailing address

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 332-4214

Other practice location 1

103 Technology Dr
Butler, PA 16001-1785
Phone (878) 332-4214

Other practice location 2

647 N Broad Street Ext
Grove City, PA 16127-4604
Phone (878) 332-4214

Other identifiers 1

IdentifierTypeStateIssuer
102677477MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppainley281446@direct.ahn.org

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
I20070308000524 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800999038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

103 Technology Dr
Butler, PA 16001-1785
Phone (724) 449-3245

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

320 E N Ave
Pittsburgh, PA 15212-4756

631 N Broad St Ext
Grove City, PA 16127-4603

631 N Broad St Extension
Agh Radiation Oncology
Grove City, PA 16127-4603
Phone (724) 450-7182

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 10, 2018 Accepting new patients
Allegheny Clinic Cardiovascular Disease CurrentSince Oct 1, 2023 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Jul 10, 2018 Accepting new patients
Allegheny Clinic Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Allegheny Clinic Cardiovascular Disease Past Accepting new patients

Locations

103 Technology Dr
Butler, PA 16001
Phone (724) 431-0609

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

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

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

1 Tech Park Dr
Ste 1120
Johnstown, PA 15901
Phone (814) 266-2434

2550 Mosside Blvd
Ste 208
Monroeville, PA 15146
Phone (412) 372-6120

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

2999 Innovation Way
Sharon, PA 16148
Phone (724) 983-1800

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: ppainley281446@direct.ahn.org

Organizations & group practices 10

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 10

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1922165711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "878-332-4214",
            "fax_number": "878-332-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "878-332-4214",
            "fax_number": "878-332-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160011785",
            "country_code": "US",
            "telephone_number": "878-332-4214",
            "fax_number": "412-482-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "647 N Broad Street Ext",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161274604",
            "country_code": "US",
            "telephone_number": "878-332-4214",
            "fax_number": "878-332-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINLEY",
        "first_name": "PHILLIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS013920",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "OS013920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102677477",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppainley281446@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "STE 208",
            "city": "MONROEVILLE",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.