Individual provider Active NPI

Kenneth C Shestak, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1366417446
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD030710E Issued in PA
Practice address
300 Halket St
Suite 5770
Pittsburgh, PA 15213-3108
Phone
(412) 641-6305
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD030710E PA Primary

Addresses

Primary practice location

300 Halket St
Suite 5770
Pittsburgh, PA 15213-3108

Mailing address

300 Halket St
Suite 5770
Pittsburgh, PA 15213-3108
Phone (412) 641-6305

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
I20110608000393 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 9234316845 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 4, 1986 Accepting new patients
University of Pittsburgh Physicians Specialist CurrentSince Aug 4, 1986 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

300 Halket St
Rm 2541
Pittsburgh, PA 15213
Phone (412) 641-4828

300 Halket St
Ste 5770
Pittsburgh, PA 15213
Phone (412) 641-1061

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

300 Halket St
Ste 2541
Pittsburgh, PA 15213
Phone (412) 641-1818

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366417446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "address_2": "SUITE 5770",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "address_2": "SUITE 5770",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHESTAK",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD030710E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.