Individual provider Active NPI

Molly Jude Di Tommaso

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1306337050
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5937 Issued in MN
Practice address
4815 Liberty Ave
1St Floor Mellon Pavilion, Suite 160
Pittsburgh, PA 15224
Phone
(412) 544-8569
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5937 MN Primary

Addresses

Primary practice location

4815 Liberty Ave
1St Floor Mellon Pavilion, Suite 160
Pittsburgh, PA 15224

Mailing address

120 5TH Ave
Pittsburgh, PA 15222-3000
Phone (844) 438-3226

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000557 PA Order and Referring Only - Nurse Practitioner 6406104181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endorsed LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mditommaso145267@ehrdirect.mayoclinicmsg.org

Organizations & group practices 1

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1306337050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223000",
            "telephone_number": "844-438-3226",
            "fax_number": "844-978-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "1ST FLOOR MELLON PAVILION, SUITE 160",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-544-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI TOMMASO",
        "first_name": "MOLLY",
        "middle_name": "JUDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.