NPIMap

Individual provider Active NPI

Rutaba Tajammal

  • Internal Medicine Physician
  • Cranberry TWP, PA
National Provider Identifier
1144880311
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD482255 Issued in PA
Practice address
20130 Route 19 Ste 1000
Cranberry TWP, PA 16066-6218
Phone
(716) 898-4578
NPI assigned
Jun 19, 2019
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD482255 PA Primary
Internal Medicine Physician 207R00000X 291875 MA

Addresses

Primary practice location

20130 Route 19 Ste 1000
Cranberry TWP, PA 16066-6218

Mailing address

20130 Route 19 Ste 1000
Cranberry TWP, PA 16066-6218
Phone (724) 779-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231104000026 PA Practitioner - Internal Medicine 4082941356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

20130 Perry Hwy
Cranberry Township, PA 16066
Phone (724) 779-7400

203 High Pointe Dr
Seven Fields, PA 16046-7921
Phone (724) 742-1250

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Oct 1, 2023 Accepting new patients
Upmc Community Medicine Inc CurrentSince Oct 1, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2022 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2026 Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

822 Boylston St
Chestnut Hill, MA 02467
Phone (617) 487-5344

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

20130 Route 19
Ste 1000
Cranberry Twp, PA 16066
Phone (724) 779-5005

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

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

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

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

Hospital & facility affiliations 5

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1144880311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 ROUTE 19 STE 1000",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666218",
            "telephone_number": "724-779-7400",
            "fax_number": "724-779-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 ROUTE 19 STE 1000",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666218",
            "telephone_number": "716-898-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJAMMAL",
        "first_name": "RUTABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD482255",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "291875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.