Individual provider Active NPI

Mark S Kalafut, CRNA

  • Certified Registered Nurse Anesthetist
  • Allison Park, PA
National Provider Identifier
1083693725
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN252708L Issued in PA
Practice address
4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424
Phone
(412) 492-0800
Fax
(412) 492-4057
NPI assigned
Jan 11, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN252708L PA Primary

Addresses

Primary practice location

4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424

Mailing address

4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424
Phone (412) 492-0800

Other identifiers 1

IdentifierTypeStateIssuer
0019678270001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000249 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789626870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C S Anesthesia LLCGroup PAC ID 3678583549, 13 clinicians

Practice addresses (Care Compare)

102 Technology Dr
Suite 130
Butler, PA 16001-1784
Phone (724) 431-0740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN252708LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
BPW Medical Associates P C Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2024 Accepting new patients
C S Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients

Locations

102 Technology Dr
Ste 130
Butler, PA 16001
Phone (724) 234-3581

3041 Innovation Way
Hermitage, PA 16148
Phone (724) 656-9180

500 N Lewis Run Rd
Ste 202
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 469-6952

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1083693725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WILLIAM FLYNN HWY",
            "address_2": "SUITE 3",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011424",
            "telephone_number": "412-492-0800",
            "fax_number": "412-492-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WILLIAM FLYNN HWY",
            "address_2": "SUITE 3",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011424",
            "telephone_number": "412-492-0800",
            "fax_number": "412-492-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAFUT",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN252708L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019678270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.