EXCELA SQUARE AT LATROBE PRIMARY CARE
NPI 1942713409
Family Medicine in Latrobe, PA

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

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

Active since November 07, 2017CLIA 39D2142571 · Waiver

100 EXCELA HEALTH DRIVE, LATROBE, PA 15650(724) 804-1725(724) 804-1727 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2019, Nov 14, 2017, Nov 7, 2017 (3 updates tracked since 2017).

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About Excela Square At Latrobe Primary Care NPPES

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

EXCELA SQUARE AT LATROBE PRIMARY CARE (NPI 1942713409) is a healthcare organization registered as a family medicine in Latrobe, Pennsylvania and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Renee M Varney, Lead Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1942713409

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEXCELA HEALTH PHYSICIAN PRACTICES, INC

Location Address100 EXCELA HEALTH DRIVELatrobe, PA 15650

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

Phone(724) 804-1725

Fax(724) 804-1727

Organization SubpartYesParent: Excela Health Holding Company

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

Enumeration DateNovember 7, 2017

Last NPPES UpdateFebruary 11, 20193 updates tracked since enumeration

✔ NPI 1942713409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

100 EXCELA HEALTH DRIVE, Latrobe, PA 15650

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Other Names 1

Doing Business AsExcela Square At Latrobe Primary Care

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 39D2142571

Excela Square At Latrobe · Latrobe, PA

Active · expires Jan 15, 2028

CLIA Number39D2142571

Laboratory TypeIndependent

Certificate Effective DateJanuary 16, 2026

Certificate Expiration DateJanuary 15, 2028

Laboratory DirectorDr. Elias Memari

Laboratory Phone(724) 537-1550

Laboratory LocationExcela Square At Latrobe100 Excela Health Drive, Latrobe, PA 15650

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES

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

LATROBE AREA HOSPITAL, INC.

Family Medicine

100 EXCELA HEALTH DRIVE
LATROBE, PA 15650

Westmoreland County (724) 804-1750

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 Excela Health Physician Practices, Inc's NPI number?

The NPI number for Excela Health Physician Practices, Inc is 1942713409. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as Excela Square At Latrobe Primary Care.

Where is Excela Health Physician Practices, Inc located?

Excela Health Physician Practices, Inc is located at 100 Excela Health Drive, Latrobe, PA 15650. The listed phone number is (724) 804-1725.

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

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

Does Excela Health Physician Practices, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2142571) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Excela Health Physician Practices, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Excela Health Physician Practices, Inc 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 Excela Health Physician Practices, Inc was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.