NPIMap

Individual provider Active NPI

Russell Scott Traister, M.D., PH.D.

  • Allergy & Immunology Physician
  • Pittsburgh, PA
National Provider Identifier
1336300672
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MT193164 Issued in PA
Practice address
4815 Liberty Ave Ste 154
Pittsburgh, PA 15224-2156
Phone
(412) 578-4003
Fax
(412) 578-4011
NPI assigned
Jun 19, 2008
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 201600100 NC
Allergy & Immunology Physician 207K00000X MT193164 PA Primary
Internal Medicine Physician 207R00000X MT193164 PA

Addresses

Primary practice location

4815 Liberty Ave Ste 154
Pittsburgh, PA 15224-2156

Mailing address

Medical Center Blvd
Suite N713
Winston Salem, NC 27157-0001
Phone (336) 716-2255

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
I20140827000818 PA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1456579861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny Clinic PediatricsGroup PAC ID 0941747703, 2 clinicians

Practice addresses (Care Compare)

6500 Brooktree Rd
Suite 101
Wexford, PA 15090-9272
Phone (412) 348-6868

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201600100NCMDAllergy & Immunology Physician
MT193164PAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Pediatrics CurrentSince May 26, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003

969 Greentree Rd
Ste 100
Pittsburgh, PA 15220
Phone (412) 920-0700

6500 Brooktree Rd
Ste 101
Wexford, PA 15090
Phone (412) 348-6868

Interoperability endpoints

  • Direct secure messaging: rtraister346213@direct.ahn.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1336300672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "address_2": "SUITE N713",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 154",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-4003",
            "fax_number": "412-578-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAISTER",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "201600100",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MT193164",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT193164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.