Individual provider Active NPI

Paul D. Bianculli, M.D.

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1992888341
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD039872L Issued in PA
Practice address
3 Shadow LN
Pittsburgh, PA 15238-2117
Phone
(412) 406-7727
Fax
(312) 371-3931
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP 026069 L PA
Pharmacist 183500000X RP026069L PA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X XD039872L PA
Surgery Physician 208600000X MD 039872 L PA
Surgery Physician 208600000X MD039872L PA Primary

Addresses

Primary practice location

3 Shadow LN
Pittsburgh, PA 15238-2117

Mailing address

3 Shadow LN
Pittsburgh, PA 15238-2117
Phone (412) 406-7727

Other identifiers 1

IdentifierTypeStateIssuer
1127013MedicaidPA

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
I20111020000154 PA Practitioner - General SurgeryPractitioner - Addiction Medicine 1658543475 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Addiction Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Shadow LN
Pittsburgh, PA 15238-2117
Phone (412) 406-7727

Hospital & facility affiliations

  • Upmc East Hospital, Monroeville, PA, CCN 390328

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)39
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RP 026069 LPAMDPharmacist
RP026069LPAMDPharmacist
XD039872LPAMDAddiction Medicine (Preventive Medicine) Physician
MD 039872 LPAMDSurgery Physician

Hospital & facility affiliations 1

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1992888341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHADOW LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382117",
            "telephone_number": "412-406-7727",
            "fax_number": "412-371-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHADOW LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382117",
            "telephone_number": "412-406-7727",
            "fax_number": "312-371-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCULLI",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP 026069 L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP026069L",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "XD039872L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD 039872 L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD039872L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.