Individual provider Active NPI

Michael Chichak, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1023305844
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT199078 Issued in PA
Practice address
1400 Locust St
Department of Medicine
Pittsburgh, PA 15219-5114
Phone
(412) 232-8080
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT199078 PA Primary

Addresses

Primary practice location

1400 Locust St
Department of Medicine
Pittsburgh, PA 15219-5114

Mailing address

1400 Locust St
Department of Medicine
Pittsburgh, PA 15219-5114
Phone (412) 232-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023000957 OH Practitioner - Internal Medicine 9537394895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT199078PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems, Inc. Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Jun 21, 2021 Accepting new patients

Locations

1977 Niles Rd SE
Warren, OH 44484
Phone (330) 372-5800

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: michael.chichak.p1@direct.oho.nextgenshare.com

Organizations & group practices 2

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1023305844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICHAK",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT199078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.