Individual provider Active NPI

Mary L Zervos, DO

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1205836715
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
05008697L Issued in PA
Practice address
969 Greentree Rd
Pittsburgh, PA 15220-3303
Phone
(412) 922-5250
Fax
(412) 920-8162
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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 05008697L PA Primary

Addresses

Primary practice location

969 Greentree Rd
Pittsburgh, PA 15220-3303

Mailing address

969 Greentree Rd
Pittsburgh, PA 15220-3303
Phone (412) 922-5250

Other identifiers 1

IdentifierTypeStateIssuer
001487878009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05008697LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mzervos333250@direct.ahn.org

Organizations & group practices 1

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1205836715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203303",
            "telephone_number": "412-922-5250",
            "fax_number": "412-920-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203303",
            "telephone_number": "412-922-5250",
            "fax_number": "412-920-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERVOS",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "05008697L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001487878009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.