Individual provider Active NPI

James A Humphrey, D.O.

  • Family Medicine Physician
  • Leechburg, PA
National Provider Identifier
1992816615
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006017L Issued in PA
Practice address
1181 State Route 356
Leechburg, PA 15656-2033
Phone
(724) 845-1145
Fax
(724) 845-1679
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X OS-006017L PA
Family Medicine Physician 207Q00000X OS006017L PA Primary

Addresses

Primary practice location

1181 State Route 356
Leechburg, PA 15656-2033

Mailing address

1181 State Route 356
Leechburg, PA 15656-2033
Phone (724) 845-1145

Other identifiers 2

IdentifierTypeStateIssuer
001180360MedicaidPA
11270085OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhumphrey159030@direct.ahn.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040925000008 PA Practitioner - Family Practice 9638148877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-006017LPAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince May 1, 2018 Accepting new patients
Allegheny Clinic CurrentSince May 1, 2018 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1181 State Route 356
Leechburg, PA 15656
Phone (724) 842-1041

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1992816615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 STATE ROUTE 356",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156562033",
            "telephone_number": "724-845-1145",
            "fax_number": "724-845-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 STATE ROUTE 356",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156562033",
            "telephone_number": "724-845-1145",
            "fax_number": "724-845-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "OS-006017L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006017L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001180360",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11270085",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhumphrey159030@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1181 State Route 356",
            "city": "Leechburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156562033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leechburg, PA

Sources for this page

Verify at the official NPI Registry.