NPIMap

Individual provider Active NPI

Alexandre Dombrovski, M.D.

  • Psychiatry Physician
  • Penn Hills, PA
National Provider Identifier
1164469375
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427389 Issued in PA
Practice address
645 Rodi Rd
Penn Hills, PA 15235-4564
Phone
(724) 836-4662
Fax
(724) 836-2876
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD427389 PA Primary

Addresses

Primary practice location

645 Rodi Rd
Penn Hills, PA 15235-4564

Mailing address

645 Rodi Rd
Ste 200
Penn Hills, PA 15235-4569
Phone (412) 345-3517

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
I20051104000046 PA Practitioner - Psychiatry 3173541505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pittsburgh Psychiatry LLCGroup PAC ID 3870878002, 2 clinicians

Practice addresses (Care Compare)

645 Rodi Rd
Suite 200
Penn Hills, PA 15235-4569
Phone (412) 345-3517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD427389PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Psychiatry LLC Psychiatry CurrentSince Mar 23, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

645 Rodi Rd
Pittsburgh, PA 15235
Phone (412) 256-2020

645 Rodi Rd
Ste 200
Pittsburgh, PA 15235
Phone (412) 345-3517

Organizations & group practices 2

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 9

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1164469375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 RODI RD",
            "address_2": "STE 200",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152354569",
            "telephone_number": "412-345-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 RODI RD",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152354564",
            "telephone_number": "724-836-4662",
            "fax_number": "724-836-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROVSKI",
        "first_name": "ALEXANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Hills, PA

Sources for this page

Verify at the official NPI Registry.