NPIMap

Individual provider Active NPI

Kimberly Atiyeh, M.D.

  • Otolaryngology Physician
  • Pittsburgh, PA
National Provider Identifier
1144580069
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD460057 Issued in PA
Practice address
207 Peebles St
Pittsburgh, PA 15221-2701
Phone
(860) 983-7280
NPI assigned
May 24, 2012
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD460057 PA Primary

Addresses

Primary practice location

207 Peebles St
Pittsburgh, PA 15221-2701

Mailing address

207 Peebles St
Pittsburgh, PA 15221-2701

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170731000989 PA Practitioner - Otolaryngology 3476824137 Reassigns benefits to 2 organizations
I20190319001264 CO Practitioner - Otolaryngology 3476824137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

16222 W US Hwy 24 220
Uchmg Woodland Park Outreach
Woodland Park, CO 80863-8763
Phone (719) 630-1006

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion14
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD460057PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Single Specialty CurrentSince Mar 11, 2019 Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Poudre Valley Medical Group, LLC Single Specialty CurrentSince Mar 11, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc Single Specialty Current Accepting new patients
University of Pittsburgh Physicians Single Specialty Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487

3843 Rio Vista Dr
Ste 2200
Colorado Springs, CO 80917
Phone (719) 364-4120

595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120

595 Chapel Hills Dr
Ste 325
Colorado Springs, CO 80920
Phone (719) 364-4120

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

16222 W US Highway 24
Ste 210
Woodland Park, CO 80863
Phone (719) 686-2832

16222 W US Highway 24
Ste 220
Woodland Park, CO 80863
Phone (719) 365-7300

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

800 S Logan Blvd
Ste 3100
Hollidaysburg, PA 16648
Phone (814) 889-4300

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

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

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1144580069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PEEBLES ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PEEBLES ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212701",
            "telephone_number": "860-983-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIYEH",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD460057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.