Individual provider Active NPI

Olivia Deleonibus, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1962249912
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065713 Issued in PA
Practice address
9104 Babcock Blvd Ste 5113
Pittsburgh, PA 15237-5866
Phone
(877) 471-0935
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065713 PA Primary

Addresses

Primary practice location

9104 Babcock Blvd Ste 5113
Pittsburgh, PA 15237-5866

Mailing address

105 De Angelo Dr
Pittsburgh, PA 15209-1149
Phone (412) 779-9974

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002058 PA Practitioner - Physician Assistant 2668918954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA065713PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 8, 2024 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 8, 2024 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients
Upmc Altoona Regional Health Services, Inc Past Accepting new patients
Upmc Multispecialty Group Inc Past Accepting new patients

Locations

1300 Oxford Dr
Ste 1200
Bethel Park, PA 15102
Phone (412) 863-4981

8000 Cranberry Springs Dr
#100
Cranberry Twp, PA 16066
Phone (724) 720-3000

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1500 5th Ave
Ste MA42
McKeesport, PA 15132
Phone (412) 748-7444

1600 Coraopolis Heights Rd
Ste G1
Moon Twp, PA 15108
Phone (412) 269-4114

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

9104 Babcock Blvd
Fl 5
Pittsburgh, PA 15237
Phone (412) 748-7407

9104 Babcock Blvd
Ste 5113
Pittsburgh, PA 15237
Phone (412) 364-4184

111 Hazel Ln
Ste 200
Sewickley, PA 15143
Phone (412) 749-3205

100 Trich Dr
Washington, PA 15301
Phone (724) 582-4411

1907 Lebanon Church Rd
Ste 201
West Mifflin, PA 15122
Phone (412) 565-7013

2001 Lincoln Way
Ste 290
White Oak, PA 15131
Phone (412) 267-5969

Organizations & group practices 6

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1962249912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DE ANGELO DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152091149",
            "telephone_number": "412-779-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD STE 5113",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375866",
            "telephone_number": "877-471-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEONIBUS",
        "first_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.