PETER JAMES RIDELLA MD NPI 1124015797

NPI Information

  • NPI: 1124015797
  • Provider Name: PETER JAMES RIDELLA, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • Address: 1111 FRANKLIN ST
    SUITE 140
    JOHNSTOWN, PA
    ZIP 15905
  • Phone: (814) 535-5554

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NPI Details

Peter James Ridella, MD is an orthopaedic surgery in Johnstown, PA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Peter James Ridella, MD NPI is 1124015797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 FRANKLIN ST
SUITE 140
JOHNSTOWN, PA
ZIP 15905-330
Phone: (814) 535-5554
Fax: (814) 535-5255

The enumeration date for this NPI number is 9/29/2005 and was last updated on 9/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand SurgeryMD018887EPENNSYLVANIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineMD018887EPENNSYLVANIANo
3207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryMD018887EPENNSYLVANIANo
4207XX0005XOrthopaedic SurgerySports MedicineMD018887EPENNSYLVANIANo
5207XX0801XOrthopaedic SurgeryOrthopaedic TraumaMD018887EPENNSYLVANIANo
6207X00000XOrthopaedic SurgeryMD018887EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1067755F84MEDICARE PINPENNSYLVANIA
20007978670002MEDICAIDPENNSYLVANIA
3200008503MEDICARE PINPENNSYLVANIA
4B34802MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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