Individual provider Active NPI

Saurabh Dwivedi, MD

  • Hospitalist Physician
  • Latrobe, PA
National Provider Identifier
1972877827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD451731 Issued in PA
Practice address
One Mellon Way
Hospitalist Office
Latrobe, PA 15650-1197
Phone
(724) 537-1801
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD451731 PA
Hospitalist Physician 208M00000X MD451731 PA Primary

Addresses

Primary practice location

One Mellon Way
Hospitalist Office
Latrobe, PA 15650-1197

Mailing address

One Mellon Way
Hospitalist Office
Latrobe, PA 15650-1197
Phone (724) 537-1801

Other identifiers 1

IdentifierTypeStateIssuer
1029550460003MedicaidPA

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
I20140828001488 PA Practitioner - Internal Medicine 0749408052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197
Phone (724) 537-1801

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451731PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Latrobe Area Hospital, Inc. Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

1 Mellon Way
Ofc
Latrobe, PA 15650
Phone (724) 537-1801

Interoperability endpoints

  • Direct secure messaging: sdwivedi@direct.excelahealth.org

Organizations & group practices 4

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 11

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972877827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MELLON WAY",
            "address_2": "HOSPITALIST OFFICE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501197",
            "telephone_number": "724-537-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MELLON WAY",
            "address_2": "HOSPITALIST OFFICE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501197",
            "telephone_number": "724-537-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "SAURABH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD451731",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD451731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029550460003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.