NPIMap

Individual provider Active NPI

Alexa Marconi, DO

  • Family Medicine Physician
  • Blairsville, PA
National Provider Identifier
1992297337
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020998 Issued in PA
Practice address
56 Club LN Ste 102
Blairsville, PA 15717-7957
Phone
(724) 459-5203
Fax
(724) 459-0949
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT018513 PA
Family Medicine Physician 207Q00000X OS020998 PA Primary

Addresses

Primary practice location

56 Club LN Ste 102
Blairsville, PA 15717-7957

Mailing address

56 Club LN Ste 102
Blairsville, PA 15717-7957
Phone (724) 459-5203

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
I20210506000380 PA Practitioner - Family Practice 6507112083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians

Practice addresses (Care Compare)

56 Club LN
Suite 102
Blairsville, PA 15717-7957
Phone (724) 459-5203

Hospital & facility affiliations

  • Excela Health Home Care & Hospice Home health agency, Greensburg, PA, CCN 397090
  • Excela Health Home Care & Hospice Hospice, Greensburg, PA, CCN 391617
  • 365 Hospice LLC Hospice, Carrolltown, PA, CCN 391774
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

56 Club Ln
Ste 102
Blairsville, PA 15717
Phone (724) 459-5203

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

101 9th St
Saltsburg, PA 15681
Phone (724) 639-3541

Interoperability endpoints

  • Direct secure messaging: alexamarconi@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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1992297337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLUB LN STE 102",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177957",
            "telephone_number": "724-459-5203",
            "fax_number": "724-459-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLUB LN STE 102",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177957",
            "telephone_number": "724-459-5203",
            "fax_number": "724-459-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONI",
        "first_name": "ALEXA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT018513",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.