Individual provider Active NPI

Raman Purighalla, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1346320017
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD065003L Issued in PA
Practice address
1050 Bower Hill Rd Ste 202
Pittsburgh, PA 15243-1867
Phone
(412) 572-6122
Fax
(412) 561-0318
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-065003L PA
Internal Medicine Physician 207R00000X MD065003L PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd Ste 202
Pittsburgh, PA 15243-1867

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other practice location 1

3400 S Park Rd
Bethel Park, PA 15102-1150
Phone (412) 835-6653

Other identifiers 2

IdentifierTypeStateIssuer
110171496OtherRAILROAD MEDICARE PTAN
0017105650001MedicaidPA

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
I20110105001132 PA Practitioner - Internal Medicine 7012092992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-065003LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Sep 10, 1998 Accepting new patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Sep 10, 1998 Accepting new patients

Locations

3400 S Park Rd
Bethel Park, PA 15102
Phone (412) 831-1333

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1050 Bower Hill Rd
Ste 202
Pittsburgh, PA 15243
Phone (412) 572-6122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1346320017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431867",
            "telephone_number": "412-572-6122",
            "fax_number": "412-561-0318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 S Park Rd",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "151021150",
            "country_code": "US",
            "telephone_number": "412-835-6653",
            "fax_number": "412-835-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURIGHALLA",
        "first_name": "RAMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-065003L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD065003L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "110171496",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017105650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.