Active NPI
Mark S Kalafut, CRNA
- Certified Registered Nurse Anesthetist
- Allison Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN252708L
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019678270001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN252708L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BPW Medical Associates P C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| C S Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Youngstown, OH
- NPI 1912923343
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1508820390
Nurse Anesthetist, Certified Registered
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.