Individual provider Active NPI

Benjamin L Kisslinger, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1063428852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD073368L Issued in PA
Practice address
VA Pittsburgh Healthcare System, Primary Care, 130P-H
7180 Highland Drive
Pittsburgh, PA 15206-1297
Phone
(412) 365-5201
Fax
(412) 365-5225
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD073368L PA Primary

Addresses

Primary practice location

VA Pittsburgh Healthcare System, Primary Care, 130P-H
7180 Highland Drive
Pittsburgh, PA 15206-1297

Mailing address

VA Pittsburgh Healthcare System, Primary Care, 130P-H
7180 Highland Drive
Pittsburgh, PA 15206-1297
Phone (412) 365-5201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000129 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0648242313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD073368LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Physician Practice PastSince Jun 1, 2018 Accepting new patients
Fred K. Fioravanti Past Accepting new patients
McAuley Medical Associates Inc Past Accepting new patients

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063428852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA PITTSBURGH HEALTHCARE SYSTEM, PRIMARY CARE, 130P-H",
            "address_2": "7180 HIGHLAND DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061297",
            "telephone_number": "412-365-5201",
            "fax_number": "412-365-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PITTSBURGH HEALTHCARE SYSTEM, PRIMARY CARE, 130P-H",
            "address_2": "7180 HIGHLAND DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061297",
            "telephone_number": "412-365-5201",
            "fax_number": "412-365-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSLINGER",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD073368L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.