NPIMap

Individual provider Active NPI

Igor Poltinnikov

  • Radiation Oncology Physician
  • Greensburg, PA
National Provider Identifier
1003868159
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD422719 Issued in PA
Practice address
200 Village Dr
Greensburg, PA 15601-3783
Phone
(724) 838-1900
NPI assigned
May 17, 2006
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD422719 PA Primary

Addresses

Primary practice location

200 Village Dr
Greensburg, PA 15601-3783

Mailing address

2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Igor.Poltinnikov@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000191 PA Practitioner - Radiation Oncology 8820009665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Cancer AssociatesGroup PAC ID 5597666792, 4 clinicians

Practice addresses (Care Compare)

200 Village Dr
Greensburg, PA 15601-3783
Phone (724) 838-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.41 of 100Reported as group
Quality
38.17
Improvement activities
40
Cost
84.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD422719PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Cancer Associates Radiation Oncology CurrentSince Nov 4, 2019 Accepting new patients
Mountain View Cancer Associates, LLP CurrentSince Nov 4, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2200 Memorial Dr
Farrell, PA 16121
Phone (724) 981-3500

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: igor.poltinnikov@upmcdirect.com
  • Direct secure messaging: ipoltinnikov@direct.excelahealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1003868159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013783",
            "telephone_number": "724-838-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLTINNIKOV",
        "first_name": "IGOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD422719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Igor.Poltinnikov@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.