Individual provider Active NPI

Rosa Fannie

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
National Provider Identifier
1184697179
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA002226L Issued in PA
Practice address
4815 Liberty Ave
Suite 3100
Pittsburgh, PA 15224-2156
Phone
(412) 621-1818
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA002226L PA Primary

Addresses

Primary practice location

4815 Liberty Ave
Suite 3100
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave
Suite 3100
Pittsburgh, PA 15224-2156

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosa.a.fannie@upmcdirect.com UPMC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000709 PA Practitioner - Physician Assistant 6002943214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

300 Halket St
Pittsburgh, PA 15213-3108

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Mar 3, 2010 Accepting new patients
University of Pittsburgh Physicians Obstetrics & Gynecology CurrentSince Mar 3, 2010 Accepting new patients
Allegheny Clinic Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

4490 Mount Royal Blvd
Ste 3100
Allison Park, PA 15101
Phone (412) 219-1173

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

2599 Wexford Bayne Rd
Ste 1000
Sewickley, PA 15143
Phone (412) 641-8808

2599 Wexford Bayne Rd
Ste 1000D
Sewickley, PA 15143
Phone (412) 641-8833

Organizations & group practices 5

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1184697179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE 3100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE 3100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIE",
        "first_name": "ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MA002226L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosa.a.fannie@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.