Individual provider Active NPI

Sean Polster

  • Neurological Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1144666348
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036.144126 Issued in IL
Practice address
203 Lothrop St Ste 521
Suite B400
Pittsburgh, PA 15213-2548
Phone
(412) 647-8186
NPI assigned
May 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036.144126 IL Primary

Addresses

Primary practice location

203 Lothrop St Ste 521
Suite B400
Pittsburgh, PA 15213-2548

Mailing address

203 Lothrop St Ste 521
Suite B400
Pittsburgh, PA 15213-2548

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sean.p.polster@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200527001446 PA Practitioner - Neurosurgery 2466755814 Reassigns benefits to 2 organizations
I20220401002004 IL Practitioner - Neurosurgery 2466755814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Wisconsin School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Chicago Medical CenterGroup PAC ID 7618880766, 907 clinicians
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Uchicago Medicine Northwest Indiana Hospital, Crown Point, IN, CCN 150195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.144126ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
University of Pittsburgh Physicians Neurological Surgery CurrentSince Jul 1, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 14, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jan 3, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 14, 2022 Accepting new patients
University of Chicago CurrentSince Mar 14, 2022 Accepting new patients
University of Chicago Past Accepting new patients

Locations

180 Harvester Dr
Ste 110
Burr Ridge, IL 60527
Phone (773) 702-1061

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

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

203 Lothrop St
Ste 521
Pittsburgh, PA 15213
Phone (412) 647-8186

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

Interoperability endpoints

  • Direct secure messaging: spolstermd74178@uchospital.direct-ci.com

Organizations & group practices 9

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.

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1144666348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LOTHROP ST STE 521",
            "address_2": "SUITE B400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LOTHROP ST STE 521",
            "address_2": "SUITE B400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132548",
            "telephone_number": "412-647-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTER",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-05-24",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.144126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sean.p.polster@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.