Individual provider Active NPI

Suneeta Madan-Khetarpal, M.D.

  • Clinical Genetics (M.D.) Physician
  • Pittsburgh, PA
National Provider Identifier
1366424525
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD054778L Issued in PA
Practice address
1 Childrens Hospital Dr
Suite 1200 Faculty Pavillion
Pittsburgh, PA 15224-1529
Phone
(412) 692-6861
Fax
(412) 692-6472
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X MD054778L PA Primary

Addresses

Primary practice location

1 Childrens Hospital Dr
Suite 1200 Faculty Pavillion
Pittsburgh, PA 15224-1529

Mailing address

54 Mallard Dr
Pittsburgh, PA 15238-1135
Phone (717) 574-7320

Other identifiers 2

IdentifierTypeStateIssuer
MD054778LOtherPAMEDICAL LICENSE NUMBER
001746844MedicaidPA

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
I20060112000930 PA Practitioner - Pediatric Medicine 4789607987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

2599 Wexford Bayne Rd
Sewickley, PA 15143-8769
Phone (724) 935-5755

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054778LPAMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2006 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2006 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients
Radiology Associates of Children'S Hospital, Inc Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3705 Desoto St
Pittsburgh, PA 15213
Phone (412) 692-5260

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Organizations & group practices 6

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366424525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MALLARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381135",
            "telephone_number": "717-574-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS HOSPITAL DR",
            "address_2": "SUITE 1200 FACULTY PAVILLION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241529",
            "telephone_number": "412-692-6861",
            "fax_number": "412-692-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN-KHETARPAL",
        "first_name": "SUNEETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "PA",
            "license": "MD054778L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD054778L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001746844",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.