1. Home
  2. Directory
  3. Pennsylvania
  4. Latrobe
  5. Family Medicine
  6. NPI Profile

ELIJAH DEPEW DO
NPI 1043000615
Family Medicine in Latrobe, PA

Active since May 08, 2025PECOS Enrolled
1 MELLON WAY, LATROBE, PA 15650(724) 992-1788 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, May 8, 2025 (2 updates tracked since 2025).

About Elijah Depew Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH DEPEW DO (NPI 1043000615) is an individual family medicine provider in Latrobe, Pennsylvania, licensed in Pennsylvania (OT024295) and active in the NPI registry since May 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043000615
Entity TypeIndividual
Primary Taxonomy207Q00000X
Provider Legal NameELIJAH DEPEWCredential: DO
Location Address1 MELLON WAYLatrobe, PA 15650-1197
Mailing Address1 Mellon WayLatrobe, PA 15650-1197
Phone(724) 992-1788
Sole ProprietorNo
Enumeration DateMay 8, 2025
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1043000615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OT024295
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 MELLON WAY, Latrobe, PA 15650
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Depew Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB EDWARD OSLOSKY DO
Family Medicine
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 961-0359
KATLYN WELSH LCSW
Social Worker (Clinical)
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 537-1000
JENAE STUNKARD
Registered Nurse (Critical Care Medicine)
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 537-2638
DANA MARINO B.S, M.ED, LPC
Counselor (Professional)
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 516-1799
ALANA M HEADINGS PA-C
Physician Assistant (Medical)
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 539-3555
MARISSA WEIR PA-C
Physician Assistant (Medical)
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 539-3555
MAGEN RAYE POLCZYNSKI DO
Family Medicine
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 537-1485
ELIZABETH A BYERS CRNP
Nurse Practitioner (Family)
1 MELLON WAY
LATROBE, PA 15650
Westmoreland County (724) 537-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Depew's NPI number?

The NPI number for Elijah Depew is 1043000615. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Elijah Depew located?

Elijah Depew practices at 1 Mellon Way, Latrobe, PA 15650. The listed phone number is (724) 992-1788.

What is Elijah Depew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elijah Depew enrolled in Medicare?

Yes. Elijah Depew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elijah Depew was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.