Organization Active NPI

Mumtaz a. Alvi, M.D., P.C.

  • Surgery Physician
  • White Oak, PA
National Provider Identifier
1093887887
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MUMTAZ A. ALVI, M.D., P.C.
Practice address
1220 Lincoln Way Ste 100
White Oak, PA 15131-1642
Phone
(412) 678-2015
Fax
(412) 678-1422
NPI assigned
Nov 15, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Chyanne D Wolpink
Title
Manger
Phone
(412) 678-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1220 Lincoln Way Ste 100
White Oak, PA 15131-1642

Mailing address

1220 Lincoln Way
Suite 100
McKeesport, PA 15131-1642
Phone (412) 678-2015

Other identifiers 1

IdentifierTypeStateIssuer
0012863790007MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000631 PA Part B Supplier - Clinic/Group Practice 6204910268 Receives reassigned benefits from 1 practitioner
Practice locations: White Oak, PA; Rostraver Township, PA; Pittsburgh, PA; Monongahela, PA; McKeesport, PA

National Provider Directory

National Provider Directory

Locations

1580 Broad Ave
Rostraver Township, PA 15012
Phone (724) 929-8411

1580 Broad Ave
Ste 3
Rostraver Township, PA 15012
Phone (724) 929-8411

1220 Lincoln Way
Ste 100
White Oak, PA 15131
Phone (412) 678-2015

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1093887887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151311642",
            "telephone_number": "412-678-2015",
            "fax_number": "412-678-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LINCOLN WAY STE 100",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311642",
            "telephone_number": "412-678-2015",
            "fax_number": "412-678-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUMTAZ A. ALVI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "WOLPINK",
        "authorized_official_first_name": "CHYANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "412-678-2015"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012863790007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.