Individual provider Active NPI

Tori Fondrk Pipak, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1023550191
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058430 Issued in PA
Practice address
1307 Federal St Ste B110
Pittsburgh, PA 15212-4773
Phone
(412) 359-3360
Fax
(412) 359-6899
NPI assigned
Nov 7, 2016
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058430 PA Primary

Addresses

Primary practice location

1307 Federal St Ste B110
Pittsburgh, PA 15212-4773

Mailing address

1307 Federal St Ste B110
Pittsburgh, PA 15212-4773
Phone (412) 359-3360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tfondrk65906@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince May 1, 2017 Accepting new patients
Allegheny Clinic CurrentSince May 1, 2017 Accepting new patients

Locations

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

1307 Federal St
Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

Interoperability endpoints

  • Direct secure messaging: tfondrk65906@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1023550191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124773",
            "telephone_number": "412-359-3360",
            "fax_number": "412-359-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124773",
            "telephone_number": "412-359-3360",
            "fax_number": "412-359-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPAK",
        "first_name": "TORI",
        "middle_name": "FONDRK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfondrk65906@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St Ste B110",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.