Individual provider Active NPI

Aleksandr Vladimirovich Mikhaylovskiy, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jefferson Hills, PA
National Provider Identifier
1134276736
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD430910 Issued in PA
Practice address
575 Coal Valley Rd
277
Jefferson Hills, PA 15025-3730
Phone
(412) 469-7722
Fax
(412) 469-7721
NPI assigned
Jan 4, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301080410 MI
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD430910 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd
277
Jefferson Hills, PA 15025-3730

Mailing address

575 Coal Valley Rd
277
Jefferson Hills, PA 15025-3730
Phone (412) 469-7722

Other identifiers 3

IdentifierTypeStateIssuer
1398027OtherBS
1019157610001MedicaidPA
1941855OtherPABSPA

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
I20070320000519 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 4486757077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hills Rehab Assoc IncGroup PAC ID 7517948995, 5 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 277
Jefferson Hills, PA 15025-3716
Phone (412) 469-7722

Eastgate
11 Suite 101
Monessen, PA 15062-2346
Phone (724) 684-8670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080410MIMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Rehab Assoc. Inc. Pain Medicine CurrentSince Jul 1, 2007 Accepting new patients
South Hills Rehab Assoc Inc Pain Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

575 Coal Valley Rd
Ste 312
Jefferson Hills, PA 15025
Phone (412) 267-6307

575 Coal Valley Rd
Ste 277
Jefferson Hls, PA 15025
Phone (412) 466-8916

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAA/Endpoint/HEHCAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1134276736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "277",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7722",
            "fax_number": "412-469-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "277",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7722",
            "fax_number": "412-469-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAYLOVSKIY",
        "first_name": "ALEKSANDR",
        "middle_name": "VLADIMIROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301080410",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD430910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1398027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019157610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSPA",
            "identifier": "1941855",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.