Active NPI
Paul Kenneth Waltz II, M.D.
- Surgery Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MT199968
- Practice address
- 4401 Penn Ave FL 7
Pittsburgh, PA 15224-1334 - Phone
- (412) 692-8222
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD452138 | PA | |
| Surgery Physician | 208600000X | MT199968 | PA | Primary |
Addresses
Primary practice location
4401 Penn Ave FL 7
Pittsburgh, PA 15224-1334
Mailing address
4401 Penn Ave FL 7
Pittsburgh, PA 15224-1334
Phone (717) 350-3254
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT199968 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Surgery | Current | Accepting new patients |
| University of Pittsburgh Physicians | Surgery | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Upmc Children'S Hospital of Pittsburgh | Past | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
4401 Penn Ave
#One
Pittsburgh, PA 15224
Phone (412) 692-7692
4401 Penn Ave
Fl 7
Pittsburgh, PA 15224
Phone (412) 692-5466
300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850
4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030
200 Lothrop St
#F677
Pittsburgh, PA 15213
Phone (412) 647-3389
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Professional Counselor
- Harrisburg, PA
- NPI 1861069791
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Surgery Physician
- Pittsburgh, PA
- NPI 1306804729
-
- Children's Hospital
- Pittsburgh, PA
- NPI 1164426896
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1235425034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 PENN AVE FL 7",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241334",
"telephone_number": "717-350-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 PENN AVE FL 7",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241334",
"telephone_number": "412-692-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTZ",
"first_name": "PAUL",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "PA",
"license": "MD452138",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT199968",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.