EXCELA SQUARE FRICK PRIMARY CARE
NPI 1679045827
Internal Medicine in Mt Pleasant, PA

Q: What is Excela Health Physician Practices, Inc.'s specialty?

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

Active since December 28, 2018CLIA 39D2226479 · Waiver

508 S CHURCH ST STE 100, MT PLEASANT, PA 15666(724) 423-4051(724) 522-4002 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2019, Dec 28, 2018 (2 updates tracked since 2018).

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About Excela Square Frick Primary Care NPPES

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

EXCELA SQUARE FRICK PRIMARY CARE (NPI 1679045827) is a healthcare organization registered as an internal medicine in Mt Pleasant, Pennsylvania and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through May 31, 2027, maintains a secondary practice location in Mt Pleasant, and lists Renee M Varney, Lead Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679045827

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEXCELA HEALTH PHYSICIAN PRACTICES, INC.

Location Address508 S CHURCH ST STE 100Mt Pleasant, PA 15666-1702

Mailing Address134 Industrial Park Rd Ste 1500Greensburg, PA 15601-8153 · (724) 850-6933 · Fax (724) 522-4002

Phone(724) 423-4051

Fax(724) 522-4002

Organization SubpartYesParent: Excela Health Holding Company

Authorized OfficialRenee M VarneyLead Credentialing Coordinator · (724) 850-6933

Enumeration DateDecember 28, 2018

Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration

✔ NPI 1679045827 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.

508 S CHURCH ST STE 100, Mt Pleasant, PA 15666

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Other Names 1

Doing Business AsExcela Square Frick Primary Care

Secondary Practice Location 1

Location 1508 S Church St Ste 301MT Pleasant, PA 15666-1702 · Phone (724) 613-5211 · Fax (724) 613-5203

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2226479

Excela Square Frick Primary Care · Mount Pleasant, PA

Active · expires May 31, 2027

CLIA Number39D2226479

Laboratory TypePhysician Office

Certificate Effective DateJune 1, 2025

Certificate Expiration DateMay 31, 2027

Laboratory DirectorDr. Rajni Madaan

Laboratory Phone(724) 613-5211

Laboratory LocationExcela Square Frick Primary Care508 South Chruch Street, Suite 301, Mount Pleasant, PA 15666

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

JEROME W GERA MD

Family Medicine