Individual provider Active NPI

Larry Keith Hirsch, MD

  • Emergency Medicine Physician
  • Johnstown, PA
National Provider Identifier
1972572113
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD019885E Issued in PA
Practice address
1086 Franklin St
Conemaugh Emergency Physicians Group
Johnstown, PA 15905
Phone
(814) 534-9600
NPI assigned
Mar 17, 2006
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD019885E PA Primary

Addresses

Primary practice location

1086 Franklin St
Conemaugh Emergency Physicians Group
Johnstown, PA 15905

Mailing address

9201 Drake Ave
Apt. 102
Evanston, IL 60203-1650
Phone (847) 673-5645

Other identifiers 3

IdentifierTypeStateIssuer
1972572113MedicaidVA
64129109MedicaidKY
007365139MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040626000250 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 8527044932 Reassigns benefits to 2 organizations
I20050401000116 TX Practitioner - Emergency Medicine 8527044932 Reassigns benefits to 1 organization
I20070209000378 KY Practitioner - Emergency MedicinePractitioner - Internal Medicine 8527044932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD019885EPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Jun 8, 2015 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Medicine Physicians of Estill County,PLLC Emergency Medicine CurrentSince Aug 9, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Thoreau Clinic CurrentSince Jun 8, 2015 Accepting new patients
Bluefield Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Eastern Kentucky Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Southern Medical Partners, LLC Emergency Medicine Past Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
Exigence of Bradford LLC Emergency Medicine Past Accepting new patients
4M Emergency Systems of West Virginia Emergency Medicine Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1972572113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 DRAKE AVE",
            "address_2": "APT. 102",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031650",
            "telephone_number": "847-673-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "address_2": "CONEMAUGH EMERGENCY PHYSICIANS GROUP",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-534-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "LARRY",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD019885E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972572113",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64129109",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007365139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.