Stuart H Chetlin, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD009213E Issued in PA

Practice address

1517 Forbes Ave
Pittsburgh, PA 15219-5111

Phone

(412) 232-3555

Fax

(412) 351-3825

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pittsburgh Family Practice Assoc., LLC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1003884487
  Medicare reassignment NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1285627059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BEECHWOOD LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064525",
            "telephone_number": "412-351-3821",
            "fax_number": "412-351-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195111",
            "telephone_number": "412-232-3555",
            "fax_number": "412-351-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETLIN",
        "first_name": "STUART",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD009213E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017886840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen C. Chester, MS
• Chestnut Chiropractic Center, Inc.
• Chetlin Pechersky Orthodontics
• Jeffrey D Chetlin, DDS-MDS
• Sherwood M. Chetlin, MD
• Edna Cheung, PHARM.D.
• Martin Chevrier, MD
• Jay Kumar Chhablani, MD
• Caroline Heyd Chhabra, MD
• Mamta Chhetri, MD

• Surgery Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.