Individual provider Active NPI

Mark Kevin Greathouse, MD

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1093796542
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD032259E Issued in PA
Practice address
200 Quinn Dr
Pittsburgh, PA 15275-1055
Phone
(421) 264-9500
Fax
(412) 264-8999
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD032259E PA Primary

Addresses

Primary practice location

200 Quinn Dr
Pittsburgh, PA 15275-1055

Mailing address

200 Quinn Dr
Pittsburgh, PA 15275-1055
Phone (412) 264-9500

Other practice location 1

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 260-7400

Other identifiers 8

IdentifierTypeStateIssuer
1002326OtherGATEWAY HEALTH PLAN
512310OtherPAHIGHMARK BLUE SHIELD
73759OtherHEALTH AMERICA
2O4278OtherPAMEDICARE PIN
0012242870001MedicaidPA
P00096580OtherRAILROAD MEDICARE
000000060928OtherUNISON HEALTH PLAN
2174044OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgreathouse302306@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000182 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 7810928959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

114 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 831-8089

118 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 469-7110

122 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 283-1133

138 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 267-6290

160 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 359-3457

200 Quinn Dr
Pittsburgh, PA 15275-1055

701 Broad St
Suite 431
Sewickley, PA 15143-1652
Phone (412) 741-0966

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Hills Open MRI & Imaging Center, Inc CurrentSince Mar 1, 2005 Accepting new patients
Allegheny Clinic Cardiovascular Disease CurrentSince Feb 1, 2023 Accepting new patients
St Clair Medical Services Inc CurrentSince Jan 1, 2013 Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2023 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Allegheny Clinic Current Accepting new patients
St Clair Medical Services Inc CurrentSince Jan 1, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Cardiovascular Disease Past Accepting new patients

Locations

3204 Johnson Rd
Steubenville, OH 43952
Phone (740) 264-8700

2000 Oxford Dr
Bethel Park, PA 15102
Phone (412) 344-6600

2000 Oxford Dr
Ste 305
Bethel Park, PA 15102
Phone (412) 942-7900

2000 Oxford Dr
Ste 680
Bethel Park, PA 15102
Phone (412) 742-7140

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

160 Gallery Dr
McMurray, PA 15317
Phone (724) 260-7200

890 Beaver Grade Rd
Moon Twp, PA 15108
Phone (412) 269-9995

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1050 Bower Hill Rd
Ste 308
Pittsburgh, PA 15243
Phone (412) 344-4767

201 N Craig St
Ofc
Pittsburgh, PA 15213
Phone (412) 269-1240

200 Quinn Dr
Pittsburgh, PA 15275
Phone (412) 264-9500

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

490 E North Ave
Ste 307
Pittsburgh, PA 15212
Phone (412) 321-4925

320 E North Ave
Ste 406
Pittsburgh, PA 15212
Phone (412) 359-3131

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: mgreathouse578081@direct.ahn.org

Organizations & group practices 10

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 10

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1093796542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUINN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751055",
            "telephone_number": "412-264-9500",
            "fax_number": "412-264-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUINN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751055",
            "telephone_number": "421-264-9500",
            "fax_number": "412-264-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153179762",
            "country_code": "US",
            "telephone_number": "724-260-7400",
            "fax_number": "724-260-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD032259E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1002326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "512310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "73759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "2O4278",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012242870001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00096580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000060928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2174044",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgreathouse302306@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.