NPIMap

Individual provider Active NPI

Behnam Lee Hatam, CRNP

  • Family Nurse Practitioner
  • Irwin, PA
National Provider Identifier
1033753256
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020947 Issued in PA
Practice address
905 Spruce St
Irwin, PA 15642-3683
Phone
(724) 864-9595
Fax
(724) 864-9860
NPI assigned
Oct 30, 2019
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020947 PA Primary

Addresses

Primary practice location

905 Spruce St
Irwin, PA 15642-3683

Mailing address

905 Spruce St
Irwin, PA 15642-3683
Phone (724) 864-9595

Other practice location 1

410 Pellis Rd Ste 1A
Greensburg, PA 15601-4700
Phone (724) 832-7877

Other identifiers 2

IdentifierTypeStateIssuer
CA3219OtherPAPALMETTO GBA - RAILROAD MEDICARE
1037627050003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200514001816 PA Practitioner - Nurse Practitioner 2668803222 Reassigns benefits to 2 organizations
I20211022000365 ME Practitioner - Nurse Practitioner 2668803222
I20220617002397 NC Practitioner - Nurse Practitioner 2668803222

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irwin Family Care, PCGroup PAC ID 9638083173, 9 clinicians

Practice addresses (Care Compare)

410 Pellis Rd
Greensburg, PA 15601-4700
Phone (724) 832-7877

905 Spruce St
Suite 201
Irwin, PA 15642-3683
Phone (724) 864-9595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Mar 1, 2020 Accepting new patients
Allegheny Clinic CurrentSince Mar 1, 2020 Accepting new patients
Irwin Family Care, PC Family CurrentSince Oct 12, 2020 Accepting new patients
Chess Medicine PLLC Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

410 Pellis Rd
Ste 1A
Greensburg, PA 15601
Phone (724) 832-7877

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

905 Spruce St
North Huntingdon, PA 15642
Phone (724) 689-1335

905 Spruce St
Ste 201
North Huntingdon, PA 15642
Phone (724) 864-1115

4727 Friendship Ave
Ste 200
Pittsburgh, PA 15224
Phone (412) 235-5810

Organizations & group practices 6

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1033753256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-864-9595",
            "fax_number": "724-864-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-864-9595",
            "fax_number": "724-864-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Pellis Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156014700",
            "country_code": "US",
            "telephone_number": "724-832-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATAM",
        "first_name": "BEHNAM",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "CA3219",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037627050003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.