Individual provider Active NPI

Robert J Gluckman, M.D.

  • Hematology & Oncology Physician
  • Wexford, PA
National Provider Identifier
1336110303
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD025529E Issued in PA
Practice address
9930 Grubbs Rd
Wexford, PA 15090-9643
Phone
(412) 367-1199
Fax
(412) 367-0216
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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 MD025529E PA Primary

Addresses

Primary practice location

9930 Grubbs Rd
Wexford, PA 15090-9643

Mailing address

2 Hot Metal St
Quantum One, N431
Pittsburgh, PA 15203-2348
Phone (412) 432-5806

Other identifiers 4

IdentifierTypeStateIssuer
403570OtherPAHIGHMARK BS
0010835630006MedicaidPA
10765082OtherPACAQH
2653801MedicaidOH

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
I20100625000385 PA Practitioner - Medical OncologyPractitioner - Internal Medicine 4385775972 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Cancer Associates Inc CurrentSince Nov 4, 2013 Accepting new patients
Oncology Hematology Association Inc Hematology & Oncology CurrentSince Aug 12, 1986 Accepting new patients
Oncology Hematology Association CurrentSince Aug 12, 1986 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

102 Technology Dr
Ste 110
Butler, PA 16001
Phone (724) 282-6175

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

9930 Grubbs Rd
Wexford, PA 15090
Phone (412) 364-3508

Organizations & group practices 4

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1336110303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N431",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-5806",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 GRUBBS RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909643",
            "telephone_number": "412-367-1199",
            "fax_number": "412-367-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCKMAN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD025529E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "403570",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010835630006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10765082",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2653801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.