Individual provider Active NPI

Marion M Vujevich, MD

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1295728699
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD029853L Issued in PA
Practice address
100 N Wren Dr
Pittsburgh, PA 15243-1248
Phone
(412) 429-2570
Fax
(412) 429-2572
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD029853L PA Primary

Addresses

Primary practice location

100 N Wren Dr
Pittsburgh, PA 15243-1248

Mailing address

100 N Wren Dr
Pittsburgh, PA 15243-1248
Phone (412) 429-2570

Other identifiers 6

IdentifierTypeStateIssuer
0006084870003MedicaidPA
0006254OtherPAUMWA
80057OtherPAAETNA US HEALTHCARE
24483OtherPAHLTH AMERICA, ADVANTRA
767688OtherPAHIGHMARK
103669OtherPAUPMC

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
I20081106000200 PA Practitioner - Dermatology 4981707890 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vujevich Dermatology Associates PC CurrentSince Sep 21, 1994 Accepting new patients
Dermatology & Cosmetic Surgery Center PC PastSince Oct 16, 1998 Accepting new patients

Locations

100 N Wren Dr
Pittsburgh, PA 15243
Phone (412) 429-0276

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72169

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1295728699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUJEVICH",
        "first_name": "MARION",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD029853L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006084870003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0006254",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "80057",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLTH AMERICA, ADVANTRA",
            "identifier": "24483",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "767688",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "103669",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.