Individual provider Active NPI

Ashutosh V Kshirsagar, M.D.

  • Urology Physician
  • Moon TWP, PA
National Provider Identifier
1184640203
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101239960 Issued in VA
Practice address
935 Thorn Run Rd
Suite 210
Moon TWP, PA 15108-2861
Phone
(412) 299-8550
Fax
(412) 299-8922
NPI assigned
Jul 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101239960 VA Primary

Addresses

Primary practice location

935 Thorn Run Rd
Suite 210
Moon TWP, PA 15108-2861

Mailing address

935 Thorn Run Rd
Suite 210
Moon TWP, PA 15108-2861
Phone (412) 299-8550

Other identifiers 4

IdentifierTypeStateIssuer
D0063590OtherMDSTATE LICENSE
MD445740OtherPAMEDICAL LICENSE
0101239960OtherVASTATE MEDICAL LICENSE
102847272MedicaidPA

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
I20120921000473 PA Practitioner - Urology 3678596111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Peartree Way
Beaver, PA 15009-1954

1000 Dutch Ridge Rd
Beaver, PA 15009-9700

1030 Beaner Hollow Rd
Beaver, PA 15009-9723

701 Broad St
Suite 412
Sewickley, PA 15143-1671

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239960VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pittsburgh Orthopaedic Associates, Inc. CurrentSince Dec 15, 2018 Accepting new patients
Greater Pittsburgh Orthopaedic Associates Inc CurrentSince Dec 15, 2018 Accepting new patients

Locations

27 Heckel Rd
Ste 100
Mc Kees Rocks, PA 15136
Phone (412) 771-3266

935 Thorn Run Rd
Ste 210
Moon Twp, PA 15108
Phone (412) 262-1064

5820 Centre Ave
Pittsburgh, PA 15206
Phone (412) 661-6484

Interoperability endpoints

  • Direct secure messaging: ashutoshkshirsagar@hvhs.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184640203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "address_2": "SUITE 210",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-299-8550",
            "fax_number": "412-299-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "address_2": "SUITE 210",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-299-8550",
            "fax_number": "412-299-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSHIRSAGAR",
        "first_name": "ASHUTOSH",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101239960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0063590",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD445740",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "0101239960",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102847272",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon TWP, PA

Sources for this page

Verify at the official NPI Registry.