NPIMap

Organization Active NPI

Allegheny Clinic

Doing business as AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1073081493
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLEGHENY CLINIC
Doing business as
AHN-Primary Care Bethel Park
Practice address
990 Higbee Dr Ste B-104
Bethel Park, PA 15102-2989
Phone
(412) 854-7924
Fax
(412) 854-7926
NPI assigned
Nov 3, 2018
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Cindy Waltemire
Title
Enrollment Specialist
Phone
(412) 330-5864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

990 Higbee Dr Ste B-104
Bethel Park, PA 15102-2989

Mailing address

990 Higbee Dr Ste B-104
Bethel Park, PA 15102-2989
Phone (412) 854-7924

Other names 1

  • AHN-Primary Care Bethel Park Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000602 PA Part B Supplier - Clinic/Group Practice 5395649586 Receives reassigned benefits from 3,418 practitioners

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2123548Ahn Primary Care - Bethel Park990 Higbee Drive, Ste 104B, Bethel Park, PA 15102Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Aspn Allegheny Gastro81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

12620 Perry Hwy
Wexford, PA 15090
Phone (724) 816-3583

Practitioners & affiliated clinicians

Practitioners 3,528

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.

View all 3,528

NPI Registry JSON

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1073081493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGBEE DR STE B-104",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022989",
            "telephone_number": "412-854-7924",
            "fax_number": "412-854-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGBEE DR STE B-104",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022989",
            "telephone_number": "412-854-7924",
            "fax_number": "412-854-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-03",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "WALTEMIRE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "412-330-5864"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.ahn.org",
            "affiliation": "N",
            "address_1": "990 Higbee Dr Ste B-104",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151022989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AHN-Primary Care Bethel Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHN-Primary Care Bethel Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.