NPIMap

Individual provider Active NPI

Zachary D Otaibi, DO

  • Hematology & Oncology Physician
  • Monroeville, PA
National Provider Identifier
1326484262
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
OS020138 Issued in PA
Practice address
2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516
Phone
(412) 373-4411
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X OS020138 PA Primary

Addresses

Primary practice location

2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 622-0290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zotaibi26112@direct.ahn.org Direct

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
I20190717002255 PA Practitioner - Hematology/Oncology 2668756958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8657

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
73.42
Promoting interoperability
100
Improvement activities
40
Cost
47.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical Oncology Hematology & Oncology CurrentSince Jul 1, 2019 Accepting new patients
Allegheny Clinic Hematology & Oncology PastSince Nov 1, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

2626 Haymaker Rd
#2
Monroeville, PA 15146
Phone (412) 373-4411

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

247 Morewood Ave
Pittsburgh, PA 15213
Phone (412) 622-0290

Interoperability endpoints

  • Direct secure messaging: zotaibi26112@direct.ahn.org

Organizations & group practices 3

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1326484262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 HAYMAKER RD FL 2",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463516",
            "telephone_number": "412-373-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTAIBI",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "OS020138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zotaibi26112@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2626 Haymaker Rd Fl 2",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.