Active NPI
Keith S Reisinger, MD
- Pediatrics Physician
- Pittsburgh, PA
National Provider Identifier
1104825546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD017264E
- Practice address
- 1580 McLaughlin Run Rd
Pine Bridge Commons, Suite 208
Pittsburgh, PA 15241-3100 - Phone
- (412) 221-2121
- Fax
- (412) 221-7224
- NPI assigned
- Jul 19, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD017264E | PA | Primary |
Addresses
Primary practice location
1580 McLaughlin Run Rd
Pine Bridge Commons, Suite 208
Pittsburgh, PA 15241-3100
Mailing address
1580 McLaughlin Run Rd
Pine Bridge Commons, Suite 208
Pittsburgh, PA 15241-3100
Phone (412) 221-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007050600002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017264E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Alliance, St. Clair Division | Pediatrics | Past | Accepting new patients |
| Allegheny Clinic Pediatrics | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Carnegie, PA
- NPI 1326436619
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1013220094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104825546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 MCLAUGHLIN RUN RD",
"address_2": "PINE BRIDGE COMMONS, SUITE 208",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152413100",
"telephone_number": "412-221-2121",
"fax_number": "412-221-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 MCLAUGHLIN RUN RD",
"address_2": "PINE BRIDGE COMMONS, SUITE 208",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152413100",
"telephone_number": "412-221-2121",
"fax_number": "412-221-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISINGER",
"first_name": "KEITH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD017264E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007050600002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.