Active NPI
Randy Scott Hebert, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD419184
- Practice address
- 2400 Ardmore Blvd Ste 700
Pittsburgh, PA 15221-5238 - Phone
- (412) 436-1333
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD419184 | PA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD419184 | PA | Primary |
Addresses
Primary practice location
2400 Ardmore Blvd Ste 700
Pittsburgh, PA 15221-5238
Mailing address
4815 Liberty Ave Ste 115
Pittsburgh, PA 15224-2156
Phone (412) 578-6808
Other practice location 1
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-6869
Other practice location 2
4815 Liberty Ave Ste 115
Pittsburgh, PA 15224-2156
Phone (412) 578-6808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001892486 | Medicaid | PA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhebert10904@direct.ahn.org | ||
| Direct Messaging Address | CommunityLife@upmcdirect.com | ||
| Direct Messaging Address | CommunityLife@upmcdirect.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD419184 | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Care Medical Associates LLC | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Past | Accepting new patients |
Locations
2349 Mill St
Aliquippa, PA 15001
Phone (412) 283-6262
2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Pittsburgh, PA
- NPI 1922427962
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1174596977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 115",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-578-6808",
"fax_number": "412-688-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ARDMORE BLVD STE 700",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152215238",
"telephone_number": "412-436-1333"
}
],
"practiceLocations": [
{
"address_1": "4800 Friendship Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241722",
"country_code": "US",
"telephone_number": "412-578-6869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4815 Liberty Ave Ste 115",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152242156",
"country_code": "US",
"telephone_number": "412-578-6808",
"fax_number": "412-688-7517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEBERT",
"first_name": "RANDY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2022-05-19",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD419184",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "PA",
"license": "MD419184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001892486",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhebert10904@direct.ahn.org",
"affiliation": "N",
"address_1": "4815 Liberty Ave Ste 115",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152242156",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CommunityLife@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "Community LIFE Center Direct Address",
"address_1": "2400 Ardmore Blvd Ste 700",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152215238",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CommunityLife@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "Community LIFE Center Direct Address",
"address_1": "2400 Ardmore Blvd Ste 700",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152215238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.