Individual provider Active NPI

J Stephen Shymansky, MD

  • Neurology Physician
  • Pittsburgh, PA
National Provider Identifier
1205832755
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD045418E Issued in PA
Practice address
1 Alpha Dr
Pittsburgh, PA 15238-2943
Phone
(412) 466-3111
Fax
(412) 469-5579
NPI assigned
Jun 21, 2005
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD045418E PA Primary

Addresses

Primary practice location

1 Alpha Dr
Pittsburgh, PA 15238-2943

Mailing address

665 Rodi Rd Ste 103
Pittsburgh, PA 15235-4566
Phone (412) 466-3111

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
I20070813000673 PA Practitioner - Neurology 5991747958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
West Virginia University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Neurology of PittsburghGroup PAC ID 4981671195, 3 clinicians

Practice addresses (Care Compare)

665 Rodi Rd
Suite 103
Pittsburgh, PA 15235-4566
Phone (412) 466-3111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045418EPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usdl Pittsburgh, Inc. CurrentSince Apr 28, 2026 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Associates in Neurology of Pittsburgh Neurology CurrentSince Feb 15, 2024 Accepting new patients
St Clair Medical Services Inc CurrentSince Jun 6, 2024 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Jun 6, 2024 Accepting new patients

Locations

575 Coal Valley Rd
Ste 104
Jefferson Hills, PA 15025
Phone (412) 466-3111

1 Alpha Dr
Pittsburgh, PA 15238
Phone (412) 466-3111

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

5750 Centre Ave
Ste 100
Pittsburgh, PA 15206
Phone (412) 361-4576

665 Rodi Rd
Ste 103
Pittsburgh, PA 15235
Phone (412) 466-3111

Interoperability endpoints

  • Direct secure messaging: jshymansky@direct.excelahealth.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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1205832755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 RODI RD STE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354566",
            "telephone_number": "412-466-3111",
            "fax_number": "412-469-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALPHA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382943",
            "telephone_number": "412-466-3111",
            "fax_number": "412-469-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYMANSKY",
        "first_name": "J STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD045418E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.