NPIMap

Individual provider Active NPI

Donald R. Shoenthal

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1073588109
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD043796E Issued in PA
Practice address
1020 Center Ave
Pittsburgh, PA 15229-1724
Phone
(412) 931-3066
Fax
(412) 931-2464
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD043796E PA Primary

Addresses

Primary practice location

1020 Center Ave
Pittsburgh, PA 15229-1724

Mailing address

203 Huch Farm Rd
Mars, PA 16046-3635

Other identifiers 2

IdentifierTypeStateIssuer
0014057830001MedicaidPA
080076238OtherPARR MEDICARE

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
I20100820000073 PA Practitioner - Family Practice 2567525546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

1020 Ctr Ave
Pittsburgh, PA 15229-1724
Phone (412) 931-3066

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Jun 14, 2010 Accepting new patients
Genesis Medical Associates, Inc. Family Medicine CurrentSince Jun 14, 2010 Accepting new patients
Upmc Passavant Past Accepting new patients

Locations

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

9104 Babcock Blvd
Ste 3111
Pittsburgh, PA 15237
Phone (412) 364-5490

1020 Center Ave
West View, PA 15229
Phone (412) 931-3066

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sherwood OaksCranberry Township, PA, CCN 395549 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2020
Jul 1, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 11

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1073588109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HUCH FARM RD",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291724",
            "telephone_number": "412-931-3066",
            "fax_number": "412-931-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENTHAL",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043796E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014057830001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080076238",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.