NPIMap

Individual provider Active NPI

David Michael Regalla, PAC

  • Physician Assistant
  • Greensburg, PA
National Provider Identifier
1982661468
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051943 Issued in PA
Practice address
433 Frye Farm Rd
Neurological Institute of Western Pennsylvania
Greensburg, PA 15601
Phone
(724) 537-0885
Fax
(724) 532-1931
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 MA051943 PA Primary

Addresses

Primary practice location

433 Frye Farm Rd
Neurological Institute of Western Pennsylvania
Greensburg, PA 15601

Mailing address

520 Jefferson Ave
Jeannette, PA 15644-2538
Phone (724) 527-8060

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
I20060217000335 PA Practitioner - Physician Assistant 5496760027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239

540 S St
Suite 301
Greensburg, PA 15601-2774
Phone (724) 261-5610

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Excela Health Physician Practices Inc CurrentSince Jan 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

433 Frye Farm Rd
Greensburg, PA 15601
Phone (724) 539-0505

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

540 South St
Ste 301
Greensburg, PA 15601
Phone (724) 261-5610

540 South St
Ste 302
Greensburg, PA 15601
Phone (724) 261-5556

100 Excela Health Dr
Ste 203B
Latrobe, PA 15650
Phone (724) 532-0866

513 Georgian Pl
Somerset, PA 15501
Phone (814) 445-5026

Interoperability endpoints

  • Direct secure messaging: davidregalla@emg.allscriptsdirect.net

Organizations & group practices 5

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 9

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1982661468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 FRYE FARM RD",
            "address_2": "NEUROLOGICAL INSTITUTE OF WESTERN PENNSYLVANIA",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-537-0885",
            "fax_number": "724-532-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALLA",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.