Individual provider Active NPI

Marek A Radomski, D.O.

  • General Practice Physician
  • Pittsburgh, PA
National Provider Identifier
1154563047
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
252373-1 Issued in NY
Practice address
Forbes Tower, Suite 10010
3600 Forbes Ave at Meyran
Pittsburgh, PA 15260
Phone
(412) 864-2072
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 252373-1 NY Primary

Addresses

Primary practice location

Forbes Tower, Suite 10010
3600 Forbes Ave at Meyran
Pittsburgh, PA 15260

Mailing address

Forbes Tower, Suite 10010
3600 Forbes Ave at Meyran
Pittsburgh, PA 15260
Phone (412) 864-2072

Other practice location 1

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-4000

Other identifiers 1

IdentifierTypeStateIssuer
1154563047OtherPANPI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address marek.a.radomski@upmcdirect.com Health Information Exchange (HIE)

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
I20110628000115 PA Practitioner - Emergency Medicine 3577688654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

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

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
252373-1NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Nov 11, 2018 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 1, 2018 Accepting new patients
Fayette Physician Network Inc Current Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St. Clair Medical Services Inc. CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2011 Accepting new patients
Fayette Physician Network Inc CurrentSince Nov 11, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2011 Accepting new patients

Locations

3600 Forbes Ave
Ste 10010
Pittsburgh, PA 15213
Phone (412) 864-2072

3600 Forbes Ave
Ste 10028
Pittsburgh, PA 15213
Phone (412) 647-8287

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

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Interoperability endpoints

  • Direct secure messaging: marek.a.radomski@upmcdirect.com
  • Direct secure messaging: mradomski206026@upmc.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 3

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1154563047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FORBES TOWER, SUITE 10010",
            "address_2": "3600 FORBES AVE AT MEYRAN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15260",
            "telephone_number": "412-864-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORBES TOWER, SUITE 10010",
            "address_2": "3600 FORBES AVE AT MEYRAN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15260",
            "telephone_number": "412-864-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bower Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-4000",
            "fax_number": "412-942-2589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADOMSKI",
        "first_name": "MAREK",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2021-05-21",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "252373-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154563047",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1000 Bower Hill Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marek.a.radomski@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.