Individual provider Active NPI

James P Mondzelewski, M.D.

  • Ophthalmology Physician
  • Pittsburgh, PA
National Provider Identifier
1992749386
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD018438E Issued in PA
Practice address
1145 Bower Hill Rd
Suite 205
Pittsburgh, PA 15243-1342
Phone
(412) 572-6121
Fax
(412) 571-1327
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD018438E PA Primary

Addresses

Primary practice location

1145 Bower Hill Rd
Suite 205
Pittsburgh, PA 15243-1342

Mailing address

1145 Bower Hill Rd
Suite 205
Pittsburgh, PA 15243-1342
Phone (412) 572-6121

Other identifiers 6

IdentifierTypeStateIssuer
000000093571OtherPAUNISON HEALTH PLAN
180009454OtherPARAILROAD MEDICARE
7514OtherPAHEALTH AMERICA
0017383050001MedicaidPA
116161OtherPAAETNA
1373927OtherPAUNITED MINE WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartan Health Surgicenter LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1992749386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BOWER HILL RD",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431342",
            "telephone_number": "412-572-6121",
            "fax_number": "412-571-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BOWER HILL RD",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431342",
            "telephone_number": "412-572-6121",
            "fax_number": "412-571-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDZELEWSKI",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD018438E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000093571",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009454",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "7514",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017383050001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "116161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1373927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.