KENNETH FASANELLA MD NPI 1629288303

Internal Medicine (Gastroenterology) in Pittsburgh, PA

NPI 1629288303 Individual Male Years of Experience 21 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment

About KENNETH FASANELLA

Kenneth Fasanella is an internal medicine provider established in Pittsburgh, Pennsylvania and his medical specialization is internal medicine (gastroenterology) with more than 21 years of experience. He graduated from University Of Virginia School Of Medicine in 2001. The NPI number of Kenneth Fasanella is 1629288303 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RG0100X with license number MD431090 (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

An internist like Kenneth Fasanella Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kenneth Fasanella is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kenneth Fasanella is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Upmc Presbyterian Shadyside and Upmc Passavant.

NPI

1629288303

Provider Name KENNETH FASANELLA MD
Provider Location Address200 LOTHROP ST PITTSBURGH, PA 15213
Provider Mailing Address200 LOTHROP ST PITTSBURGH, PA 15213
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-23-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.MD431090
License StatePA
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

KENNETH FASANELLA MD
200 LOTHROP ST
PITTSBURGH, PA
ZIP 15213
Phone: (412) 647-8666

Get Directions


Mailing Address

KENNETH FASANELLA MD
200 LOTHROP ST
PITTSBURGH, PA
ZIP 15213
Phone: (412) 647-3087



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5799884664
PECOS Enrollment IDI20070619000404
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 46Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 13Biopsy of large bowel using an endoscope (HCPCS:45380)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kenneth Fasanella is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UPMC PRESBYTERIAN SHADYSIDE200 LOTHROP STREET
PITTSBURGH, PA 15213
(412) 647-8788Acute Care Hospitals390164
UPMC PASSAVANT9100 BABCOCK BOULEVARD
PITTSBURGH, PA 15237
(412) 367-6700Acute Care Hospitals390107

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467452011SELECT SPECIALTY HOSPITAL - PITTSBURGH/UPMC INC
Organization
Long Term Care Hospital200 LOTHROP ST MUH E824
PITTSBURGH, PA 15213
(412) 586-9821
1609862796DR. ANNE C VUJEVICH-WARD D.O.
Individual
Anesthesiology200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-5909
1609867498DR. ANTHONY F PIZON MD
Individual
Emergency Medicine200 LOTHROP ST FORBES TOWER 9055
PITTSBURGH, PA 15213
(412) 647-7594
1386625291DR. CHRISTINE GARCIA ROTH MD
Individual
Pathology (Hematology)200 LOTHROP ST UPMC, PUH-G300
PITTSBURGH, PA 15213
(412) 647-0382
1760460919DR. HRISHIKESH ARWIND KALE M.B.B.S , D.N.B
Individual
Radiology (Diagnostic Radiology)200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-0943
1689644460MR. SHAWN PATRICK WEBER CRNA
Individual
Nurse Anesthetist, Certified Registered200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-2808
1770554123DR. ADAM S AKERS MD
Individual
Internal Medicine (Critical Care Medicine)200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1356312797DR. ADNAN ADIB ABLA MD
Individual
Neurological Surgery200 LOTHROP ST SUITE 5C
PITTSBURGH, PA 15213
(412) 647-3604
1992776348DR. ALI HUSSAIN AL-KHAFAJI MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1124090345DR. DAVID G BEAUDREAU MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3260
1962474353DR. RAED SAID ABDULLAH MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3396
1649242991DR. RUPAL BANDI MD
Individual
Specialist200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3553
1679545933DR. ELVIS LEON BARNES JR. MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 383-7498
1710959770DR. ADEEL AJWAD BUTT MD
Individual
Specialist200 LOTHROP ST SUITE 3A, FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
(412) 648-6401
1427020502DR. UBAID AHMAD AKHTAR MD
Individual
Specialist200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3510
1740252832DR. ARTHUR J BOUJOUKOS MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1275505265DR. FERNANDO L AREVALO MD
Individual
Radiology (Diagnostic Radiology)200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3553
1164494175DR. ROBERT MARSHALL AUSTIN MD
Individual
Specialist200 LOTHROP ST BST, SUITE S424
PITTSBURGH, PA 15213
(412) 648-9466
1376515221DR. VICTOR JOHN CATULLO MD
Individual
Specialist200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3553
1730151580DR. NEIL ALEXANDER CHRISTIE MD
Individual
Specialist200 LOTHROP ST SUITE 9055
PITTSBURGH, PA 15213
(412) 623-2025

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.