Individual provider Active NPI

Dina Marie Difeo

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1992060636
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012279 Issued in PA
Practice address
1140 Perry Hwy
Pittsburgh, PA 15237-2160
Phone
(412) 364-4402
Fax
(412) 364-3850
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN633453 PA
Family Nurse Practitioner 363LF0000X SP012279 PA Primary

Addresses

Primary practice location

1140 Perry Hwy
Pittsburgh, PA 15237-2160

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (724) 741-0044

Other practice location 1

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (724) 935-5330

Other identifiers 1

IdentifierTypeStateIssuer
103385753-0003MedicaidPA

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
I20121005000013 PA Practitioner - Nurse Practitioner 4789833898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

4001 Stonewood Dr
Suite 200
Wexford, PA 15090-8398
Phone (724) 935-5330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN633453PAMDRegistered Nurse
SP012279PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Mar 4, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 1, 2017 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 1, 2017 Accepting new patients
Upmc Community Medicine Inc CurrentSince Mar 4, 2018 Accepting new patients

Locations

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

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

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

3000 Stonewood Dr
Ste 200
Wexford, PA 15090
Phone (724) 934-5520

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1992060636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "724-741-0044",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372160",
            "telephone_number": "412-364-4402",
            "fax_number": "412-364-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12311 Perry Hwy",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908344",
            "country_code": "US",
            "telephone_number": "724-935-5330",
            "fax_number": "724-935-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIFEO",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN633453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103385753-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.