NPIMap

Individual provider Active NPI

Alexander Barsouk, MD

  • Hematology & Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1114929544
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD072080L Issued in PA
Practice address
4815 Liberty Ave
Suite 340
Pittsburgh, PA 15224-2156
Phone
(412) 681-4401
Fax
(412) 688-7555
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD072080L PA Primary

Addresses

Primary practice location

4815 Liberty Ave
Suite 340
Pittsburgh, PA 15224-2156

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 770-1826

Other identifiers 1

IdentifierTypeStateIssuer
00891166MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abarsouk10590@direct.ahn.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000478 PA Practitioner - Hematology/Oncology 1951203520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians

Practice addresses (Care Compare)

150 Doctors LN
Suite 1
Clarion, PA 16214-8516
Phone (814) 226-3480

4815 Liberty Ave
Suite 340
Pittsburgh, PA 15224-2156
Phone (412) 681-4401

Hospital & facility affiliations

  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032
  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Allegheny Clinic Medical Oncology Hematology & Oncology CurrentSince Jan 1, 2004 Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Clarion Hospital Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

150 Doctors Ln
#1
Clarion, PA 16214
Phone (814) 226-3480

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

247 Morewood Ave
Pittsburgh, PA 15213
Phone (412) 622-0290

4815 Liberty Ave
Ste 340
Pittsburgh, PA 15224
Phone (412) 621-3211

5200 Centre Ave
Ste 706
Pittsburgh, PA 15232
Phone (412) 461-4401

Organizations & group practices 8

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1114929544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-770-1826",
            "fax_number": "412-681-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE 340",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-681-4401",
            "fax_number": "412-688-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUK",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD072080L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00891166",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abarsouk10590@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4815 Liberty Ave",
            "address_2": "Suite 340",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.