Organization Active NPI

Pulse Pointe Urgent Care PC

  • Internal Medicine Physician
  • Seven Fields, PA
National Provider Identifier
1073258521
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PULSE POINTE URGENT CARE PC
Practice address
126 Enclave Dr # 106
Seven Fields, PA 16046-7900
Phone
(724) 939-6712
Fax
(724) 939-6712
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Yusuf Sidique, MDNPI 1164443107
Title
Owner
Phone
(724) 939-6712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

126 Enclave Dr # 106
Seven Fields, PA 16046-7900

Mailing address

126 Enclave Dr # 106
Seven Fields, PA 16046-7900
Phone (724) 939-6712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230125001536 PA Part B Supplier - Clinic/Group Practice 9931581089 Receives reassigned benefits from 1 practitioner
Practice locations: Seven Fields, PA

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
39D2264246Pulse Pointe Urgent Care126 Enclave Drive, Seven Fields, PA 16046Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory

Locations

126 Enclave Dr
#106
Seven Fields, PA 16046
Phone (724) 939-6712

126 Enclave Dr
Ste 106
Seven Fields, PA 16046
Phone (724) 939-6712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1073258521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ENCLAVE DR # 106",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467900",
            "telephone_number": "724-939-6712",
            "fax_number": "724-939-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENCLAVE DR # 106",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467900",
            "telephone_number": "724-939-6712",
            "fax_number": "724-939-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE POINTE URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "SIDIQUE",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-939-6712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.