Individual provider Active NPI

Revathi Shekar, BDS, MDS

  • Oral Medicine Dentistry
  • Pittsburgh, PA
National Provider Identifier
1174907224
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
License
RFD000056 Issued in PA
Practice address
3501 Terrace St, Salk Hall
G120 Salk Hall
Pittsburgh, PA 15213-2523
Phone
(129) 095-9415
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X RFD000056 PA
Oral Medicine Dentistry 125Q00000X RFD000056 PA Primary

Addresses

Primary practice location

3501 Terrace St, Salk Hall
G120 Salk Hall
Pittsburgh, PA 15213-2523

Mailing address

3501 Terrace St.
G120 Salk Hall
Pittsburgh, PA 15213-2523
Phone (129) 095-9415

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302001188 PA Practitioner - Dentist 7517272719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Harvard School of Dental Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dental Health Services, Inc.Group PAC ID 2769387752, 10 clinicians

Practice addresses (Care Compare)

3501 Terrace St
Suite 3189
Pittsburgh, PA 15213-2523

3501 Terrace St
Suite 3189
Pittsburgh, PA 15261-2523
Phone (412) 648-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RFD000056PAMDOral Medicinist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Health Services, Inc. Oral Medicine CurrentSince Feb 1, 2023 Accepting new patients

Locations

3501 Ter St
Pittsburgh, PA 15261
Phone (412) 648-6361

3501 Terrace St
Ste 3189
Pittsburgh, PA 15213
Phone (412) 383-7483

Organizations & group practices 1

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1174907224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST.",
            "address_2": "G120 SALK HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132523",
            "telephone_number": "129-095-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST, SALK HALL",
            "address_2": "G120 SALK HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132523",
            "telephone_number": "129-095-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKAR",
        "first_name": "REVATHI",
        "credential": "BDS, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "RFD000056",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "PA",
            "license": "RFD000056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.