Individual provider Active NPI

Mary Ann Miknevich, MD

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1124026216
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD025845E Issued in PA
Practice address
1350 Locust St Ste 409
Pittsburgh, PA 15219-4738
Phone
(412) 232-7608
Fax
(412) 281-3536
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD025845E PA Primary

Addresses

Primary practice location

1350 Locust St Ste 409
Pittsburgh, PA 15219-4738

Mailing address

PO Box 598
Wexford, PA 15090-0598
Phone (412) 622-4314

Other practice location 1

1220 Lincoln Way Ste 102
White Oak, PA 15131-1642
Phone (412) 673-0502

Other practice location 2

101 N Meadows Dr Ste 112
Wexford, PA 15090-8368
Phone (724) 772-5410

Other identifiers 1

IdentifierTypeStateIssuer
0009352390003MedicaidPA

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
I20100108000657 PA Practitioner - Physical Medicine and Rehabilitation 1456398296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Pittsburgh School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Rehabilitation, Inc.Group PAC ID 9739070525, 5 clinicians

Practice addresses (Care Compare)

4412 Penn Ave
Pittsburgh, PA 15224-1312
Phone (412) 622-4314

P O Box
Suite 598
Wexford, PA 15090-0598

PO Box
Suite 598
Wexford, PA 15090-0598

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.24
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation, Inc CurrentSince Jan 25, 1984 Accepting new patients

Locations

1350 Locust St
Ste 409
Pittsburgh, PA 15219
Phone (412) 232-7398

101 N Meadows Dr
Ste 215
Wexford, PA 15090

101 N Meadows Dr
Ste 112
Wexford, PA 15090
Phone (724) 759-7461

1220 Lincoln Way
Ste 102
White Oak, PA 15131
Phone (412) 673-0502

Interoperability endpoints

  • Direct secure messaging: maryann.miknevich@medicalrehabinc.directbygreenway.com
  • Direct secure messaging: mary.a.miknevich@upmcdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1124026216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150900598",
            "telephone_number": "412-622-4314",
            "fax_number": "412-622-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST STE 409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-7608",
            "fax_number": "412-281-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Lincoln Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "White Oak",
            "state": "PA",
            "postal_code": "151311642",
            "country_code": "US",
            "telephone_number": "412-673-0502",
            "fax_number": "412-673-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Meadows Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908368",
            "country_code": "US",
            "telephone_number": "724-772-5410",
            "fax_number": "724-772-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKNEVICH",
        "first_name": "MARY ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD025845E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009352390003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.