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NPI Code Detail

MEDICARE: LEONARD A DERIGGI MD

MEDICARE: LEONARD A DERIGGI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianMD051921LPA
22085R0202XDiagnostic Radiology Physician0101284938VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30815059000OTHERPAINDEPENDENCE BLUE CROSS
4DE789597OTHERPAHIGHMARK
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275520470
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD A DERIGGI MD
Provider Business Mailing Address
First Line : 3572 BRODHEAD RD
Second Line : SUITE 201
City : MONACA
State : PA
Zip : 15061-3101
Country : US
Telephone Number : 724-728-6539
Fax Number : 724-728-7416
Provider Business Practice Location Address
First Line : 1000 DUTCH RIDGE RD
Second Line : DEPARTMENT OF RADIOLOGY
City : BEAVER
State : PA
Zip : 15009-9727
Country : US
Telephone Number : 724-773-4567
Fax Number : 724-728-9729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 11/18/2025

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Directions to “ LEONARD A DERIGGI MD” Practice Location

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