NPIMap

Individual provider Active NPI

Dylan Christopher Payne, DO

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1194985218
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
250572 Issued in NY
Practice address
810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone
(412) 650-1100
NPI assigned
Jun 12, 2008
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 250572 NY Primary

Addresses

Primary practice location

810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505

Mailing address

810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone (412) 650-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpayne134701@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160524000518 PA Practitioner - Psychiatry 2668629601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

810 Clairton Blvd
Pittsburgh, PA 15236-5505
Phone (412) 650-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250572NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Regional Medical Center CurrentSince Apr 18, 2016 Accepting new patients
Jefferson Regional Medical Center Psychiatry CurrentSince Oct 11, 2020 Accepting new patients
Jefferson Regional Medical Center Psychiatry CurrentSince Apr 18, 2016 Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients

Locations

810 Clairton Blvd
Ste 500600
Pittsburgh, PA 15236
Phone (412) 650-1100

810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004

Interoperability endpoints

  • Direct secure messaging: dpayne134701@direct.ahn.org

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

Hospital & facility affiliations 7

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1194985218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DYLAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "250572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpayne134701@direct.ahn.org",
            "affiliation": "N",
            "address_1": "810 Clairton Blvd Ste 500600",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152365505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.