Individual provider Active NPI

Timothy J. Rausch, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1003099847
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009664 Issued in PA
Practice address
320 E North Ave FL 3
Pittsburgh, PA 15212-4756
Phone
(412) 359-3115
Fax
(412) 359-3165
NPI assigned
Dec 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009664 PA Primary

Addresses

Primary practice location

320 E North Ave FL 3
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave FL 3
Pittsburgh, PA 15212-4756
Phone (412) 359-3115

Other identifiers 2

IdentifierTypeStateIssuer
102219159MedicaidPA
11893758OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trausch141022@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000304 PA Practitioner - Nurse Practitioner 9638124449 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP009664PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 10, 2017 Accepting new patients
Valley Medical Facilities Inc CurrentSince Feb 1, 2008 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 13, 2013 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Feb 1, 2008 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 13, 2013 Accepting new patients
Allegheny Clinic CurrentSince Jul 10, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Allegheny Clinic Current Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

320 E North Ave
Fl 3
Pittsburgh, PA 15212
Phone (412) 359-3115

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

320 E North Ave
Fl 5
Pittsburgh, PA 15212
Phone (412) 359-6466

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

320 E North Ave
Fl 4
Pittsburgh, PA 15212
Phone (412) 359-3319

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: trausch141022@direct.ahn.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1003099847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE FL 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3115",
            "fax_number": "412-359-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE FL 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3115",
            "fax_number": "412-359-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-16",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102219159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11893758",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trausch141022@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave Fl 3",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.