NPIMap

Individual provider Active NPI

Nikos Demetrios Pappan

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1043772809
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD477889 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-4971
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD477889 PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-4971

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nikos.d.pappan@upmcdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219002067 PA Practitioner - Internal Medicine 4688043391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-7780

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD477889PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Cardiovascular Disease Specialists of Pittsburgh, PC CurrentSince Jan 2, 2024 Accepting new patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
Allegheny Clinic Current Accepting new patients
St Clair Medical Services Inc CurrentSince Jan 1, 2025 Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Nov 2, 2022 Accepting new patients
Allegheny Clinic CurrentSince Nov 2, 2022 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

1000 Bower Hill Rd
Ste 7400
Pittsburgh, PA 15243
Phone (412) 429-8840

5750 Centre Ave
Ste 510
Pittsburgh, PA 15206
Phone (412) 661-1633

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1043772809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAN",
        "first_name": "NIKOS",
        "middle_name": "DEMETRIOS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-08-28",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD477889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikos.d.pappan@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.