South Pittsburgh Urology Associates
Organization Active NPI Urology Physician · Jefferson Hills, PA
NPI 1013328038 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1013328038
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- SOUTH PITTSBURGH UROLOGY ASSOCIATES
- Practice address
- 1200 Brooks LN Ste 220
Jefferson Hills, PA 15025-3761 - Phone
- (412) 469-1002
- Fax
- (412) 469-8925
- NPI assigned
- May 13, 2014
- Organization subpart
- No
Authorized official
- Name
- Denise Noel
- Title
- Director Provider Enrollment
- Phone
- (412) 330-5861
Member of 1
Practitioners 8
-
Olivia Miller, PA-C
-
Madison Mackenzie Smith, PA-C
-
Sumit Saini, MD
-
Molly Murray, PA-C
-
Charles Neal Lebovitz, M. D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0866569 | South Pittsburgh Urology Assoc | Provider-performed microscopy | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140925000278 | PA | Part B Supplier - Clinic/Group Practice | 8123248127 |
Receives reassigned benefits from 7 practitioners Practice locations: Bethel Park, PA; Brentwood, PA; Clairton, PA |
National Provider Directory
Locations
1000 Higbee Dr
Ste D270
Bethel Park, PA 15102
Phone (412) 469-1002
3728 Brownsville Rd
Ste 312
Brentwood, PA 15227
Phone (412) 886-2720
3720 Brownsville Rd
Ste 3728
Brentwood, PA 15227
Phone (412) 886-2720
1200 Brooks Ln
Ste 220
Jefferson Hills, PA 15025
Phone (412) 469-1002
1290 Chess St
Ste 202
Monongahela, PA 15063
Phone (724) 258-5770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
1200 Brooks LN Ste 220
Jefferson Hills, PA 15025-3761
Mailing address
4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5861
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.ahn.org |
Other providers in Jefferson Hills, PA
- Sean Benjamin Snyder
- Darpan Sohni
- Flanna Keeley Soliday
- South Hills Emg Associates PC
- South Hills Rehab Assoc Inc
- Rachel Sparinga
- Kathryn Rebecca Spingola
- Amy J Stakeley
- Frank X Stanish
- Ashlee Marie Starr
All providers in Jefferson Hills, PA · Urology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.