NPIMap

Organization Active NPI

Tadiso Incorporated

  • Voluntary or Charitable Agency
  • Pittsburgh, PA
National Provider Identifier
1124194501
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
75-25975-5 Issued in PA
Legal business name
TADISO INCORPORATED
Practice address
1425 Beaver Ave
Pittsburgh, PA 15233-2313
Phone
(412) 322-8415
Fax
(412) 316-1019
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Ms. Kristina A Delprincipe, MBA
Title
Cao
Phone
(412) 322-8415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 75-25975-5 PA Primary

Addresses

Primary practice location

1425 Beaver Ave
Pittsburgh, PA 15233-2313

Mailing address

1425 Beaver Avenue
Pittsburgh, PA 15233-2313
Phone (412) 322-8415

Other names 1

  • Tadiso Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Opioid treatment program
Medicare-enrolled since Oct 23, 2021

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112000064 PA Part B Supplier - Opioid Treatment Program (Otp) 9133518194 Practice locations: Pittsburgh, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2125508Tadiso Incorporated1425 Beaver Ave, Pittsburgh, PA 15233Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

1425 Beaver Ave
Pittsburgh, PA 15233
Phone (412) 322-8415

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1124194501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BEAVER AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332313",
            "telephone_number": "412-322-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BEAVER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332313",
            "telephone_number": "412-322-8415",
            "fax_number": "412-316-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADISO INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "DELPRINCIPE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "412-322-8415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "75-25975-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tadiso Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tadiso Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.