Individual provider Active NPI

Gabriel Cisneros

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1336449719
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD445584 Issued in PA
Practice address
5608 Wilkins Ave Ste 202
Suite 202
Pittsburgh, PA 15217-1282
Phone
(412) 422-3590
NPI assigned
Nov 1, 2010
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD445584 PA Primary

Addresses

Primary practice location

5608 Wilkins Ave Ste 202
Suite 202
Pittsburgh, PA 15217-1282

Mailing address

5608 Wilkins Ave Ste 202
Suite 202
Pittsburgh, PA 15217-1282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabriel.o.cisneros@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Community Care Pediatrics PastSince Sep 17, 2023 Accepting new patients
Children's Community Care Pediatrics PastSince Feb 1, 2020 Accepting new patients
Children's Community Care Pediatrics Past Accepting new patients
Childrens Community Pediatrics Pediatrics PastSince Feb 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gabriel.o.cisneros@upmcdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1336449719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 WILKINS AVE STE 202",
            "address_2": "SUITE 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 WILKINS AVE STE 202",
            "address_2": "SUITE 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171282",
            "telephone_number": "412-422-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2021-03-25",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD445584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabriel.o.cisneros@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.