NPIMap

Organization Active NPI

Upmc/St Clair Hospital Cancer Center

  • Radiation Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1306138169
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
UPMC/ST CLAIR HOSPITAL CANCER CENTER
Practice address
1020 Bower Hill Rd
Pittsburgh, PA 15243-1843
Phone
(412) 502-3920
Fax
(412) 502-3933
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Charles E Bogosta
Title
Vice President
Phone
(412) 692-2451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1020 Bower Hill Rd
Pittsburgh, PA 15243-1843

Mailing address

2 Hot Metal St FL 3
Pittsburgh, PA 15203-2348
Phone (412) 432-7469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110902000010 PA Part B Supplier - Clinic/Group Practice 9638349558 Receives reassigned benefits from 50 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1306138169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST FL 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7469",
            "fax_number": "412-647-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431843",
            "telephone_number": "412-502-3920",
            "fax_number": "412-502-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC/ST CLAIR HOSPITAL CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "BOGOSTA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "412-692-2451"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.

Verify at the official NPI Registry.