Active NPI
David Ray Vilsack, DPM
- Podiatrist
- Pittsburgh, PA
National Provider Identifier
1124029681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001542L
- Practice address
- 532 S Aiken Ave
Ste 108
Pittsburgh, PA 15232-1521 - Phone
- (412) 621-5700
- Fax
- (412) 621-2890
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001542L | PA | Primary |
Addresses
Primary practice location
532 S Aiken Ave
Ste 108
Pittsburgh, PA 15232-1521
Mailing address
532 S Aiken Ave
Ste 108
Pittsburgh, PA 15232-1521
Phone (412) 621-5700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004292912 | Other | PA | AETNA |
| 1503489 | Other | PA | GATEWAY |
| 887857 | Other | PA | BS |
| 40683 | Other | PA | HEALTH AMERICA |
| 65298 | Other | PA | MEDPLUS |
| 202304 | Other | PA | UPMC |
| 480020822 | Other | PA | RAILROAD MEDICARE |
| 0005031350012 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Podiatry | Podiatrist | Past | Accepting new patients |
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.
-
- Podiatrist
- Pittsburgh, PA
- NPI 1407857451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1124029681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 S AIKEN AVE",
"address_2": "STE 108",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321521",
"telephone_number": "412-621-5700",
"fax_number": "412-621-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 S AIKEN AVE",
"address_2": "STE 108",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321521",
"telephone_number": "412-621-5700",
"fax_number": "412-621-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILSACK",
"first_name": "DAVID",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001542L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004292912",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1503489",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "887857",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "40683",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS",
"identifier": "65298",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "202304",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480020822",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005031350012",
"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 May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.