Individual provider Active NPI

Mariah Jacqueline Doohan

  • Physician Assistant
  • New York, NY
National Provider Identifier
1235608266
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023030 Issued in NY
Practice address
530 1St Ave Ste 8U
New York, NY 10016-6402
Phone
(646) 501-2179
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023030 NY Primary

Addresses

Primary practice location

530 1St Ave Ste 8U
New York, NY 10016-6402

Mailing address

530 1St Ave Ste 8U
New York, NY 10016-6402
Phone (646) 501-2179

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdoohan363718@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191125000185 NY Practitioner - Physician Assistant 6204268675 Reassigns benefits to 2 organizations
I20240809000637 PA Practitioner - Physician Assistant 6204268675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
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)

275 Clairton Blvd
West Mifflin, PA 15236-1426
Phone (412) 650-2375

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

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023030NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 27, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 29, 2024 Accepting new patients
New York University CurrentSince Jun 27, 2020 Accepting new patients
Fpa Hospital Based CurrentSince Nov 1, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 29, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

530 1st Ave
Ste 8U
New York, NY 10016
Phone (212) 263-7182

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

Interoperability endpoints

  • Direct secure messaging: mariah.j.doohan@upmcdirect.com

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.

Hospital & facility affiliations 4

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1235608266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE STE 8U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "646-501-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE STE 8U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "646-501-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOHAN",
        "first_name": "MARIAH",
        "middle_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdoohan363718@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "530 1st Ave Ste 8U",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.