NPIMap

Individual provider Active NPI

Daniel B Dicola, MD

  • Family Medicine Physician
  • Latrobe, PA
National Provider Identifier
1982662755
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD022539E Issued in PA
Practice address
100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001
Phone
(724) 537-1480
Fax
(724) 539-6353
NPI assigned
May 2, 2006
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD022539E PA Primary

Addresses

Primary practice location

100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001

Mailing address

100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001
Phone (724) 537-1480

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
I20100614000646 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 7113057340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Excela Health Dr
301 Excela Square Latrobe Family Medicine
Latrobe, PA 15650-9001
Phone (724) 537-1480

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Latrobe Area Hospital, Inc. Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Excela Health Physician Practices, 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

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Excela Health Home Care & HospiceGreensburg, PA, CCN 391617 Hospice Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1982662755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 301",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-537-1480",
            "fax_number": "724-539-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 301",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-537-1480",
            "fax_number": "724-539-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOLA",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD022539E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.