Individual provider Active NPI

Jonathan Penner

  • Vascular & Interventional Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1215469598
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD481628 Issued in PA
Practice address
200 Lothrop St Ste E204
Pittsburgh, PA 15213-2536
Phone
(412) 647-3550
Fax
(412) 647-2601
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD481628 PA Primary

Addresses

Primary practice location

200 Lothrop St Ste E204
Pittsburgh, PA 15213-2536

Mailing address

200 Lothrop St Ste E204
Pittsburgh, PA 15213-2536
Phone (412) 647-3550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

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
I20230803002694 PA Practitioner - Diagnostic Radiology 1759625841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7750

110 N Main St
Greenville, PA 16125-1726

110 N Main St FL
Greenville, PA 16125-1726

1211 Wilmington Ave
New Castle, PA 16105-2516

1211 Wlmngtn Ave GRND FLR
Div of Pulm Allergy and Crit Care Med
New Castle, PA 16105-2516
Phone (724) 656-4660

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200

1500 5TH Ave
McKeesport, PA 15132-2422
Phone (412) 664-2000

200 Lothrop St
Pittsburgh, PA 15213-2536

201 State St
Erie, PA 16550-0002
Phone (412) 383-3200

2200 Memorial Dr
Farrell, PA 16121-1357
Phone (412) 648-1983

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

300 Halket St
Pittsburgh, PA 15213-3108

410 Pellis Rd
Suite 1B
Greensburg, PA 15601-4700
Phone (412) 432-3600

5230 Centre Ave
Pittsburgh, PA 15232-1304

600 Oxford Dr
Suite 210
Monroeville, PA 15146-2355
Phone (412) 692-4400

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 383-3200

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • Upmc East Hospital, Monroeville, PA, CCN 390328

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481628PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Vascular & Interventional Radiology CurrentSince Sep 1, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Ste E204
Pittsburgh, PA 15213
Phone (412) 647-3500

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: jonathan.penner@upmcdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1215469598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST STE E204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3550",
            "fax_number": "412-647-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST STE E204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3550",
            "fax_number": "412-647-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD481628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.