Organization Active NPI

Allergy & Clinical Immunology Associates, PC

  • Allergy Physician
  • Pittsburgh, PA
National Provider Identifier
1053365643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD009759E Issued in PA
Legal business name
ALLERGY & CLINICAL IMMUNOLOGY ASSOCIATES, PC
Practice address
180 Fort Couch Rd
Suite 375
Pittsburgh, PA 15241-1041
Phone
(412) 833-8811
Fax
(412) 833-7011
NPI assigned
May 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa M White
Title
Practice Administrator
Phone
(412) 833-6768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD009759E PA Primary

Addresses

Primary practice location

180 Fort Couch Rd
Suite 375
Pittsburgh, PA 15241-1041

Mailing address

180 Fort Couch Rd
Suite 375
Pittsburgh, PA 15241-1041
Phone (412) 833-8811

Other identifiers 1

IdentifierTypeStateIssuer
185254OtherPAHIGHMARK/BLUES PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031202000193 PA Part B Supplier - Clinic/Group Practice 6608771761 Receives reassigned benefits from 5 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

575 Coal Valley Rd
Ste 204
Clairton, PA 15025
Phone (412) 466-2220

180 Fort Couch Rd
Pittsburgh, PA 15241
Phone (412) 831-0355

180 Fort Couch Rd
Ste 375
Pittsburgh, PA 15241
Phone (412) 833-8811

8035 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 364-5050

1385 Washington Rd
Ste 101
Washington, PA 15301

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053365643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD",
            "address_2": "SUITE 375",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411041",
            "telephone_number": "412-833-8811",
            "fax_number": "412-833-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD",
            "address_2": "SUITE 375",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411041",
            "telephone_number": "412-833-8811",
            "fax_number": "412-833-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & CLINICAL IMMUNOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "412-833-6768",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD009759E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUES PROVIDER #",
            "identifier": "185254",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.