Organization Active NPI

Mercy Life Center Corp

Doing business as Pittsburgh Mercy Family Health Center

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1073883161
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY LIFE CENTER CORP
Doing business as
Pittsburgh Mercy Family Health Center
Practice address
249 South 9TH Street
Pittsburgh, PA 15203
Phone
(412) 697-3260
Fax
(412) 697-3263
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Amanda Anglum
Title
Patient Accounting Manager
Phone
(412) 697-0712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

249 South 9TH Street
Pittsburgh, PA 15203

Mailing address

1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone (412) 697-0712

Other identifiers 3

IdentifierTypeStateIssuer
165912OtherPAMEDICARE
1604175OtherPAGATEWAY HEALTH PLANS
2684111OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Pittsburgh Mercy Family Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000504 PA Part B Supplier - Clinic/Group Practice 9335042514 Receives reassigned benefits from 36 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 W Station Square Dr
Pittsburgh, PA 15219
Phone (412) 471-6270

925 Penn Ave
Pittsburgh, PA 15222
Phone (412) 325-4075

149 Monastery Ave
Pittsburgh, PA 15203
Phone (412) 431-2461

9983 Perry Hwy
Wexford, PA 15090
Phone (724) 933-8200

Practitioners & affiliated clinicians

Practitioners 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1073883161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-697-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 SOUTH 9TH STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15203",
            "telephone_number": "412-697-3260",
            "fax_number": "412-697-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY LIFE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "ANGLUM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "412-697-0712"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "165912",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLANS",
            "identifier": "1604175",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2684111",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pittsburgh Mercy Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.