Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Mariso Riccelli, MD

Individual provider Internal Medicine Physician · NPI 1578500104

Antonio Mariso Riccelli, MD is an Internal Medicine in Pittsburgh, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 1989, 37 years ago. Practices with St Clair Medical Services Inc, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
37
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5301 Grove Rd Ste 631
Pittsburgh, PA 15236-1693
Phone: (412) 942-9105
Fax: (412) 942-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 733 Washington Rd Ste 401, Pittsburgh, PA 15228-2064 — (412) 942-9105

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD044948L (PA)

Record details

NPI number1578500104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice St Clair Medical Services Inc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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