NPIMap

Individual provider Active NPI

Pamela L Kridgen, MD

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
National Provider Identifier
1255390886
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD051267L Issued in PA
Practice address
4815 Liberty Ave Ste GR25
Pittsburgh, PA 15224-2156
Phone
(855) 281-4963
Fax
(412) 605-6343
NPI assigned
Mar 22, 2006
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD051267L PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste GR25
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste GR25
Pittsburgh, PA 15224-2156
Phone (855) 281-4963

Other identifiers 1

IdentifierTypeStateIssuer
001486781MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkridgen11037@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000086 PA Practitioner - Obstetrics/Gynecology 1557337540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1991
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)

1900 Waterdam Plaza Dr
FL 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

4800 Friendship Ave
Pittsburgh, PA 15224-1722

4815 Liberty Ave
Pittsburgh, PA 15224-2156

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic Current Accepting new patients
University of Pittsburgh Physicians Obstetrics & Gynecology CurrentSince Jan 1, 2010 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1300 Oxford Dr
Ste 2D
Bethel Park, PA 15102
Phone (412) 854-5921

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3471 5th Ave
Ste 601
Pittsburgh, PA 15213
Phone (412) 687-1300

4815 Liberty Ave
Ste 215
Pittsburgh, PA 15224
Phone (412) 235-5900

4815 Liberty Ave
Ste GR25
Pittsburgh, PA 15224
Phone (855) 281-4463

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

11279 Perry Hwy
Ste 450
Wexford, PA 15090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1255390886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE GR25",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "855-281-4963",
            "fax_number": "412-605-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE GR25",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "855-281-4963",
            "fax_number": "412-605-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIDGEN",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD051267L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001486781",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkridgen11037@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste Gr25",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.