Individual provider Active NPI

Antonella Polito, MD

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1184820763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MT190131 Issued in PA
Practice address
3708 5TH Ave
Suite 503 Medical Arts Building
Pittsburgh, PA 15213-3427
Phone
(412) 958-7885
NPI assigned
Jun 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT190131 PA Primary

Addresses

Primary practice location

3708 5TH Ave
Suite 503 Medical Arts Building
Pittsburgh, PA 15213-3427

Mailing address

5700 5TH Ave
B3
Pittsburgh, PA 15232-2748

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
I20100819000955 PA Practitioner - Pediatric Medicine 9739213141 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190131PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Pediatrics CurrentSince Jul 1, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184820763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 5TH AVE",
            "address_2": "B3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 5TH AVE",
            "address_2": "SUITE 503 MEDICAL ARTS BUILDING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133427",
            "telephone_number": "412-958-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "ANTONELLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT190131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.