Individual provider Active NPI

Sherwood M. Chetlin, MD

  • Rheumatology Physician
  • Pittsburgh, PA
National Provider Identifier
1356341937
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD014712E Issued in PA
Practice address
3500 5TH Ave
Arthritis and Internal Medicine
Pittsburgh, PA 15213-3337
Phone
(412) 682-2434
Fax
(412) 682-1044
NPI assigned
Jul 26, 2005
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD014712E PA Primary

Addresses

Primary practice location

3500 5TH Ave
Arthritis and Internal Medicine
Pittsburgh, PA 15213-3337

Mailing address

3500 5TH Ave
Arthritis and Internal Medicine
Pittsburgh, PA 15213-3337
Phone (412) 682-2434

Other identifiers 1

IdentifierTypeStateIssuer
0006916430005MedicaidPA

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
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1356341937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 5TH AVE",
            "address_2": "ARTHRITIS AND INTERNAL MEDICINE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133337",
            "telephone_number": "412-682-2434",
            "fax_number": "412-682-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 5TH AVE",
            "address_2": "ARTHRITIS AND INTERNAL MEDICINE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133337",
            "telephone_number": "412-682-2434",
            "fax_number": "412-682-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETLIN",
        "first_name": "SHERWOOD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD014712E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006916430005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "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 Aug 2, 2011; 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.