NPIMap

Individual provider Active NPI

Supritha A Shetty, M.D.

  • Internal Medicine Physician
  • MC Murray, PA
National Provider Identifier
1164410585
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD065791L Issued in PA
Practice address
3928 Washington Rd Ste 220
MC Murray, PA 15317-2594
Phone
(724) 941-8877
Fax
(724) 941-4745
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 20986 WV
Internal Medicine Physician 207R00000X MD065791L PA Primary

Addresses

Primary practice location

3928 Washington Rd Ste 220
MC Murray, PA 15317-2594

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other practice location 1

1039 Brookline Blvd
Pittsburgh, PA 15226-2247
Phone (412) 561-3452

Other identifiers 20

IdentifierTypeStateIssuer
014314OtherPAMEDICARE INDIVIDUAL
185138OtherPAHEALTH AMERICA INDIVIDUAL
229426OtherPAADVANTRA GRP PROVIDER # PATEL MED ASSOC
001545760OtherPAHIGHMARK GRP PROVIDER # PATEL MED ASSOC
04400111000MedicaidWV
186004OtherPAADVANTRA INDIVIDUAL
P002253OtherPAGATEWAY HP GRP PROVIDER # PATEL MED ASSOC
1504772OtherPAGATEWAY HP INDIVIDUAL
229409OtherPAHEALTH AMERICA GRP PROVIDER # PATEL MED ASSOC
3378423OtherPAAETNA GRP PROVIDER # PATEL MED ASSOC
110245304OtherPARAILROAD MC INDIVIDUAL
2147180MedicaidOH
0017021060005MedicaidPA
075827OtherPAMEDICARE GROUP FOR PATEL MED ASSOC
210966OtherPAUPMC HP GRP # PATEL MED ASSOC
1414361OtherPAHIGHMARK INDIVIDUAL PROVIDER NUMBER
207165OtherPAUPMC HP INDIVIDUAL
229409OtherPAHEALTH ASSURANCE GRP # PATEL MED ASSOC
DA9375OtherPARAILROAD MC GRP # PATEL MED ASSOC
1037778OtherPAAETNA INDIVIDUAL

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
I20050908000555 PA Practitioner - Internal MedicinePractitioner - General Surgery 0648202804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Preferred Primary Care Physicians, Inc.Group PAC ID 8527967256, 88 clinicians

Practice addresses (Care Compare)

3928 Washington Rd
Suite 220
MC Murray, PA 15317-2594
Phone (724) 941-8877

Hospital & facility affiliations

  • Allegheny Health Network Healthcare at Home Home Health Home health agency, Canonsburg, PA, CCN 398088
  • Gallagher Home Health Services Home health agency, Bridgeville, PA, CCN 398024
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065791LPAMDInternal Medicine Physician
20986WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Atul Shetty, MD LLC Internal Medicine Past Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

3928 Washington Rd
Ste 220
Mc Murray, PA 15317
Phone (724) 941-8877

300 Fleet St
Ste 100
Pittsburgh, PA 15220
Phone (412) 741-2221

1039 Brookline Blvd
Pittsburgh, PA 15226
Phone (412) 561-3452

Interoperability endpoints

  • Direct secure messaging: suprithashettymd@preferred.medentdirect.com

Organizations & group practices 3

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 11

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1164410585",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
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            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 WASHINGTON RD STE 220",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172594",
            "telephone_number": "724-941-8877",
            "fax_number": "724-941-4745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 Brookline Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152262247",
            "country_code": "US",
            "telephone_number": "412-561-3452",
            "fax_number": "412-561-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SUPRITHA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
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            "taxonomy_group": "",
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    "identifiers": [
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        {
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            "identifier": "229426",
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        },
        {
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            "identifier": "001545760",
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            "issuer": null,
            "identifier": "04400111000",
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            "identifier": "P002253",
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        },
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            "identifier": "1504772",
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        {
            "code": "01",
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            "issuer": "AETNA GRP PROVIDER # PATEL MED ASSOC",
            "identifier": "3378423",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC INDIVIDUAL",
            "identifier": "110245304",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147180",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017021060005",
            "state": "PA"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP FOR PATEL MED ASSOC",
            "identifier": "075827",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HP GRP # PATEL MED ASSOC",
            "identifier": "210966",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK INDIVIDUAL PROVIDER NUMBER",
            "identifier": "1414361",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HP INDIVIDUAL",
            "identifier": "207165",
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE GRP # PATEL MED ASSOC",
            "identifier": "229409",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC GRP # PATEL MED ASSOC",
            "identifier": "DA9375",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL",
            "identifier": "1037778",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.