NPIMap

Individual provider Active NPI

Eydie Moses-Kolko

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1063486728
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD063729L Issued in PA
Practice address
3811 Ohara St
Suite 1135-E
Pittsburgh, PA 15213-2561
Phone
(412) 624-1000
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD063729L PA Primary

Addresses

Primary practice location

3811 Ohara St
Suite 1135-E
Pittsburgh, PA 15213-2561

Mailing address

3811 Ohara St
Suite 1135-E
Pittsburgh, PA 15213-2593

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eydie.m.moseskolko@upmcdirect.com UPMC

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
I20050505000538 PA Practitioner - Psychiatry 4183664543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

3811 Ohara St
Pittsburgh, PA 15213-2561
Phone (412) 624-1000

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063729LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Psychiatry CurrentSince Jul 1, 2001 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2001 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 19, 2020 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 19, 2020 Accepting new patients
Children'S Community Care Psychiatry Current Accepting new patients

Locations

1300 Oxford Dr
Ste 1A
Bethel Park, PA 15102
Phone (412) 687-5040

3811 Ohara St
Ste 1135E
Pittsburgh, PA 15213

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

11279 Perry Hwy
Ste 450
Wexford, PA 15090

Interoperability endpoints

  • Direct secure messaging: eydie.m.moseskolko@upmcdirect.com

Organizations & group practices 7

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 4

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1063486728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "address_2": "SUITE 1135-E",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "address_2": "SUITE 1135-E",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-624-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES-KOLKO",
        "first_name": "EYDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD063729L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eydie.m.moseskolko@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "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.