Individual provider Active NPI

Randy Scott Hebert, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1174596977
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD419184 Issued in PA
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

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001892486MedicaidPA

Electronic endpoints 3

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000555 PA Practitioner - Hospice/Palliative Care 5890978746 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD419184PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Medical Associates LLC CurrentSince Oct 1, 2019 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.

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

Verify at the official NPI Registry.