Organization Active NPI

Pittsburgh Family Practice Assoc., LLC

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1003884487
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD040249L Issued in PA
Legal business name
PITTSBURGH FAMILY PRACTICE ASSOC., LLC
Practice address
1517 Forbes Ave
Pittsburgh, PA 15219-5111
Phone
(412) 232-3555
Fax
(412) 232-3523
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Arthur David, M.D.NPI 1235135997
Title
President
Phone
(412) 232-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD040249L PA Primary

Addresses

Primary practice location

1517 Forbes Ave
Pittsburgh, PA 15219-5111

Mailing address

1517 Forbes Ave
Pittsburgh, PA 15219-5111
Phone (412) 232-3555

Other identifiers 1

IdentifierTypeStateIssuer
1030432100001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000730 PA Part B Supplier - Clinic/Group Practice 5991777948 Receives reassigned benefits from 4 practitioners
Practice locations: Bellevue, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1635 River Valley Cir S
Lancaster, OH 43130
Phone (740) 216-0006

575 Lincoln Ave
Ste LL1
Bellevue, PA 15202
Phone (412) 366-5454

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1003884487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195111",
            "telephone_number": "412-232-3555",
            "fax_number": "412-232-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195111",
            "telephone_number": "412-232-3555",
            "fax_number": "412-232-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH FAMILY PRACTICE ASSOC., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-232-3555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD040249L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030432100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.