Active NPI
Michael L. Tepe
- Chiropractor
- Pittsburgh, PA
National Provider Identifier
1205906153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006525L
- Practice address
- 5739 One Half Walnut Street
Pittsburgh, PA 15232 - Phone
- (412) 363-6556
- Fax
- (412) 363-6585
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006525L | PA | Primary |
Addresses
Primary practice location
5739 One Half Walnut Street
Pittsburgh, PA 15232
Mailing address
5739 1/2 Walnut Street
Pittsburgh, PA 15232
Phone (412) 363-6556
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202001 | Other | PA | UPMC |
| 11536819 | Other | PA | CAQH |
| 336670 MTEPE | Other | PA | HEALTH AMERICA |
| PVR110 | Medicaid | PA | |
| T114853 | Other | PA | IHP |
| TE836539 | Other | PA | BLUE CROSS BLUE SHIELD |
| TE836539 | Other | PA | MEDICARE PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000619 | PA | Practitioner - Chiropractic | 6204002611 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5739 /2 Walnut St
Pittsburgh, PA 15232-2523
Phone (412) 363-6556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205906153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5739 1/2 WALNUT STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15232",
"telephone_number": "412-363-6556",
"fax_number": "412-363-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5739 ONE HALF WALNUT STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15232",
"telephone_number": "412-363-6556",
"fax_number": "412-363-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPE",
"first_name": "MICHAEL",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006525L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "202001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11536819",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "336670 MTEPE",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PVR110",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHP",
"identifier": "T114853",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "TE836539",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "TE836539",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.