NPIMap

Individual provider Active NPI

Jeffrey A. Erukhimov, M.D.

  • Pulmonary Disease Physician
  • Beaver, PA
National Provider Identifier
1295749935
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD055716L Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone
(724) 773-6403
Fax
(724) 770-7943
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD055716L PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009

Mailing address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

Other practice location 1

1201 3rd St
Beaver, PA 15009-2530
Phone (724) 774-2942

Other identifiers 1

IdentifierTypeStateIssuer
1689944MedicaidPA

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
I20071203000362 PA Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 2860581519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

701 Broad St
Suite 401
Sewickley, PA 15143-1652
Phone (724) 773-6878

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Pulmonary Disease CurrentSince Dec 1, 2010 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Dec 1, 2010 Accepting new patients
Nicholas Tapyrik, M.D., LTD. Past Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients
Sleep Wellness Center L L C Past Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1201 3rd St
Beaver, PA 15009
Phone (724) 728-5995

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

701 Broad St
Ste 403
Sewickley, PA 15143

Interoperability endpoints

  • Direct secure messaging: jeffreyerukhimov@hvhs.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pam Health Specialty Hospital at Heritage ValleyBeaver, PA, CCN 392043 Hospital Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1295749935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-6403",
            "fax_number": "724-770-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "15009",
            "telephone_number": "724-773-6403",
            "fax_number": "724-770-7943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 3rd St",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092530",
            "country_code": "US",
            "telephone_number": "724-774-2942",
            "fax_number": "724-770-7943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERUKHIMOV",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD055716L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689944",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.