Individual provider Active NPI

Myles H Zuckerman, M.D.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1245232115
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD033411-E Issued in PA
Practice address
2500 Baldwick Rd
Pittsburgh, PA 15205-4140
Phone
(412) 922-6262
Fax
(412) 922-5026
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD033411-E PA Primary

Addresses

Primary practice location

2500 Baldwick Rd
Pittsburgh, PA 15205-4140

Mailing address

50 Moffett St
Pittsburgh, PA 15243-1162
Phone (412) 572-8823

Other identifiers 1

IdentifierTypeStateIssuer
1001174MedicaidPA

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
I20101213000968 PA Practitioner - Hospice/Palliative CarePractitioner - Family Practice 7315134616 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Upmc Community Medicine Inc CurrentSince Aug 1, 2019 Accepting new patients
Zuckerman Family Practice PastSince Apr 19, 2005 Accepting new patients

Locations

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

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1245232115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOFFETT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431162",
            "telephone_number": "412-572-8823",
            "fax_number": "412-572-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BALDWICK RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054140",
            "telephone_number": "412-922-6262",
            "fax_number": "412-922-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "MYLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD033411-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001174",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.