Individual provider Active NPI

David G Wideman, MD

  • Pain Medicine (Anesthesiology) Physician
  • Pittsburgh, PA
National Provider Identifier
1215550942
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD491421 Issued in PA
Practice address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone
(412) 578-5323
Fax
(412) 578-4981
NPI assigned
May 28, 2020
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD491421 PA Primary

Addresses

Primary practice location

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Mailing address

4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5323

Other practice location 1

631 N Broad Street Ext
Grove City, PA 16127-4603
Phone (724) 450-7119

Other identifiers 2

IdentifierTypeStateIssuer
CAQHOther16606914
104548933OtherPAMEDICAID

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
I20250907000184 PA Practitioner - Pain Management 1153823372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

631 N Broad St Ext
Grove City, PA 16127-4603
Phone (412) 359-6886

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2025 Accepting new patients
Allegheny Clinic Pain Medicine CurrentSince Sep 1, 2025 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

Interoperability endpoints

  • Direct secure messaging: dwideman1045240@direct.ahn.org

Organizations & group practices 4

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 3

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1215550942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5323",
            "fax_number": "412-578-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5323",
            "fax_number": "412-578-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 N Broad Street Ext",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161274603",
            "country_code": "US",
            "telephone_number": "724-450-7119",
            "fax_number": "724-450-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDEMAN",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD491421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "16606914",
            "identifier": "CAQH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "104548933",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.