DV PROFESSIONAL GROUP PLLC
NPI 1114774577
Internal Medicine in Allison Park, PA

Active since May 03, 2024
4307 GLADES DR, ALLISON PARK, PA 15101(412) 577-8622 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dv Professional Group Pllc NPPES

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

DV PROFESSIONAL GROUP PLLC (NPI 1114774577) is a healthcare organization registered as an internal medicine in Allison Park, Pennsylvania and active in the NPI registry since May 2024. The organization lists Athan Georgiades, President, as its authorized official.

NPPES Registry Identity

NPI1114774577
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDV PROFESSIONAL GROUP PLLC
Location Address4307 GLADES DRAllison Park, PA 15101-1521
Mailing Address4307 Glades DrAllison Park, PA 15101-1521 · (412) 577-8622
Organization SubpartNo
Authorized OfficialAthan GeorgiadesPresident · (412) 683-2267
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1114774577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4307 GLADES DR, Allison Park, PA 15101

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dv Professional Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dv Professional Group PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

General Surgery
NPI 1972518363
4318 NORTHERN PIKE SUITE 101
Monroeville, PA 15146
(412) 683-2267
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1154771251
100 MEDICAL BLVD
Canonsburg, PA 15317
(724) 745-6100
✔ PECOS26 mi
Radiation Oncology
NPI 1578536397
1044 BELMONT AVE
Youngstown, OH 44504
(330) 480-2182
✔ PECOS✔ Accepts Medicare53 mi
General Surgery
NPI 1578766200
8040 CLEARVISTA PKWY STE 490
Indianapolis, IN 46256
(317) 621-5450
✔ PECOS326 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dv Professional Group PLLC's NPI number?

The NPI number for Dv Professional Group PLLC is 1114774577. It was assigned to this organization in the NPPES registry on May 3, 2024.

Where is Dv Professional Group PLLC located?

Dv Professional Group PLLC is located at 4307 Glades Dr, Allison Park, PA 15101. The listed phone number is (412) 577-8622.

What is Dv Professional Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dv Professional Group PLLC enrolled in Medicare?

Yes. Dv Professional Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dv Professional Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dv Professional Group PLLC, in General Surgery, Nurse Practitioner and Radiation Oncology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dv Professional Group PLLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.