Active NPI
Lifeline Centers, PC
- Specialist
- Monroeville, PA
National Provider Identifier
1285963967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- LIFELINE CENTERS, PC
- Practice address
- 1 Monroeville Ctr
Suite 475
Monroeville, PA 15146-4048 - Phone
- (412) 351-6545
- Fax
- (412) 273-1958
- NPI assigned
- Dec 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Kegg
- Title
- President/Ceo
- Phone
- (412) 351-6545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1 Monroeville Ctr
Suite 475
Monroeville, PA 15146-4048
Mailing address
1525 Park Manor Blvd Ste 308
Pittsburgh, PA 15205-4805
Phone (412) 351-6545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070731000404 | PA | Part B Supplier - Clinic/Group Practice | 8921109992 |
Receives reassigned benefits from 4 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monroeville, PA; Washington, PA; New Castle, PA; Warrendale, PA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Sleep Disorder Diagnostic Clinic/Center
- Pittsburgh, PA
- NPI 1700800331
O20070731000404
National Provider Directory
National Provider Directory- Tax ID family
- Lifeline Centers PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- New Castle, PA
- NPI 1114508181
-
- Specialist
- Washington, PA
- NPI 1073842951
-
- Specialist
- Warrendale, PA
- NPI 1770811762
Locations
1525 Park Manor Blvd
Pittsburgh, PA 15205
Phone (412) 378-4888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622073600000",
"number": "1285963967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 PARK MANOR BLVD STE 308",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152054805",
"telephone_number": "412-351-6545",
"fax_number": "412-351-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MONROEVILLE CTR",
"address_2": "SUITE 475",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151464048",
"telephone_number": "412-351-6545",
"fax_number": "412-273-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE CENTERS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-09",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A",
"authorized_official_last_name": "KEGG",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "412-351-6545",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.