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CAROL J FOX MD
NPI 1942254255
Family Medicine in Greensburg, PA

Active since May 20, 2006
200 VILLAGE DR, SUITE C, GREENSBURG, PA 15601(724) 834-6900(724) 834-2896 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carol J Fox Md NPPES

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

CAROL J FOX MD (NPI 1942254255) is an individual family medicine provider in Greensburg, Pennsylvania, licensed in Pennsylvania (MD043951E) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1942254255
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL J FOXCredential: MD
Location Address200 VILLAGE DR, SUITE CGreensburg, PA 15601-3783
Mailing Address520 Jefferson Ave, Suite 400Jeannette, PA 15644-2538 · (724) 527-8060 · Fax (724) 522-4002
Phone(724) 834-6900
Fax(724) 834-2896
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateFebruary 6, 2017
✔ NPI 1942254255 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 · MD043951E
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.
200 VILLAGE DR, Greensburg, PA 15601
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Other Identifiers 3

Medicare PIN656233PA
Medicaid0012969100003PA
Medicare UPINE74995

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol J Fox Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carol Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excela Health Physician Practices, Inc.
Same address
Family Medicine
200 VILLAGE DR STE C
Greensburg, PA 15601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
NPI 1235004193 (724) 765-1230

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

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.

IGOR POLTINNIKOV
Radiology (Radiation Oncology)
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 838-1900
MOUNTAIN VIEW CANCER ASSOCIATES
Internal Medicine (Hematology & Oncology)
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 838-1900
MOUNTAIN VIEW CANCER ASSOCIATES INC
Non-Pharmacy Dispensing Site
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 838-1900
LISA BESSER MD
Pediatrics
200 VILLAGE DR, SUITE B
GREENSBURG, PA 15601
Westmoreland County (724) 832-0850
VICTORIA FARMER PA-C
Physician Assistant (Medical)
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 832-1535
MATTHEW G SULECKI M.D.
Internal Medicine (Hematology & Oncology)
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 838-1900
ERICA BILLICK
Physician Assistant (Medical)
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 832-1535
CLARE BOAST
Physician Assistant
200 VILLAGE DR
GREENSBURG, PA 15601
Westmoreland County (724) 838-1900

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 Carol Fox's NPI number?

The NPI number for Carol Fox is 1942254255. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Carol Fox located?

Carol Fox practices at 200 Village Dr Suite C, Greensburg, PA 15601. The listed phone number is (724) 834-6900.

What is Carol Fox's specialty?

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

Is Carol Fox enrolled in Medicare?

Yes. Carol Fox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Fox reassigns Medicare benefits to Excela Health Physician Practices, Inc. (Greensburg, PA). The 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 Carol Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carol Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Fox was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.