Individual provider Active NPI

Alexandra Konetsky Smith-Demain, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1053517623
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 439846 Issued in PA
Practice address
708 Jefferson Dr
Pittsburgh, PA 15229-1205
Phone
(412) 841-8853
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 MD 439846 PA Primary

Addresses

Primary practice location

708 Jefferson Dr
Pittsburgh, PA 15229-1205

Mailing address

708 Jefferson Dr
Pittsburgh, PA 15229-1205
Phone (412) 841-8853

Other names 1

  • Alexandra Konetsky Smith Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 439846PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care, PC - Pennsylvania Current Accepting new patients

Locations

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Organizations & group practices 1

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1053517623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 JEFFERSON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291205",
            "telephone_number": "412-841-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 JEFFERSON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291205",
            "telephone_number": "412-841-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-DEMAIN",
        "first_name": "ALEXANDRA",
        "middle_name": "KONETSKY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 439846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "SMITH",
            "middle_name": "KONETSKY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.