Individual provider Active NPI

Mitchell Edward Antin, DO

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1285664441
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS004985L Issued in PA
Practice address
5213 5TH Ave
Pittsburgh, PA 15232
Phone
(412) 390-3430
Fax
(412) 683-3906
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS004985L PA Primary

Addresses

Primary practice location

5213 5TH Ave
Pittsburgh, PA 15232

Mailing address

5213 5TH Ave
Pittsburgh, PA 15232-2160
Phone (412) 390-3430

Other practice location 1

2100 Jane St
Ste 111
Pittsburgh, PA 15203
Phone (412) 390-3430

Other practice location 2

2100 Jane St
Ste 111
Pittsburgh, PA 15203
Phone (412) 390-3430

Other practice location 3

5213 5th Ave
Pittsburgh, PA 15232-2160
Phone (412) 390-3430

Other practice location 4

2100 Jane St
Ste 111
Pittsburgh, PA 15203
Phone (412) 390-3430

Other practice location 5

5213 5th Ave
Pittsburgh, PA 15232-2160
Phone (412) 390-3430

Other practice location 6

2100 Jane St
Ste 111
Pittsburgh, PA 15203
Phone (412) 390-3430

Other identifiers 1

IdentifierTypeStateIssuer
0009943740003MedicaidPA

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
I20111129000491 PA Practitioner - Orthopedic Surgery 7911171053 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5213 5TH Ave
Suite 5
Pittsburgh, PA 15232-2160
Phone (412) 390-3430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS004985LPAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1285664441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322160",
            "telephone_number": "412-390-3430",
            "fax_number": "412-683-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15232",
            "telephone_number": "412-390-3430",
            "fax_number": "412-683-3906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Jane St",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15203",
            "country_code": "US",
            "telephone_number": "412-390-3430",
            "fax_number": "412-390-3432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Jane St",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15203",
            "country_code": "US",
            "telephone_number": "412-390-3430",
            "fax_number": "412-390-3432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5213 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152322160",
            "country_code": "US",
            "telephone_number": "412-390-3430",
            "fax_number": "412-683-3906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Jane St",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15203",
            "country_code": "US",
            "telephone_number": "412-390-3430",
            "fax_number": "412-390-3432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5213 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152322160",
            "country_code": "US",
            "telephone_number": "412-390-3430",
            "fax_number": "412-683-3906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Jane St",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15203",
            "country_code": "US",
            "telephone_number": "412-390-3430",
            "fax_number": "412-390-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIN",
        "first_name": "MITCHELL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS004985L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009943740003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.