Individual provider Active NPI

Marissa Pfoff Pavlinich, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jefferson HLS, PA
National Provider Identifier
1366829558
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD462629 Issued in PA
Practice address
575 Coal Valley Rd Ste 277
Jefferson HLS, PA 15025-3716
Phone
(412) 469-7722
NPI assigned
Apr 27, 2015
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD462629 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd Ste 277
Jefferson HLS, PA 15025-3716

Mailing address

575 Coal Valley Rd Ste 277
Jefferson HLS, PA 15025-3716
Phone (412) 469-7722

Other names 1

  • Marissa Kirstin Pfoff Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pfoffmk2@upmc.edu Direct

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
I20200609002602 PA Practitioner - Physical Medicine and Rehabilitation 3577984053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Pittsburgh School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hills Rehab Assoc IncGroup PAC ID 7517948995, 5 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 277
Jefferson Hills, PA 15025-3716
Phone (412) 469-7722

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Rehab Assoc. Inc. Pain Medicine CurrentSince Aug 3, 2020 Accepting new patients
South Hills Rehab Assoc Inc Single Specialty CurrentSince Aug 3, 2020 Accepting new patients

Locations

575 Coal Valley Rd
Ste 312
Jefferson Hills, PA 15025
Phone (412) 267-6307

575 Coal Valley Rd
Ste 277
Jefferson Hls, PA 15025
Phone (412) 466-8916

Interoperability endpoints

  • Direct secure messaging: pfoffmk2@upmc.edu

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1366829558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 277",
            "city": "JEFFERSON HLS",
            "state": "PA",
            "postal_code": "150253716",
            "telephone_number": "412-469-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 277",
            "city": "JEFFERSON HLS",
            "state": "PA",
            "postal_code": "150253716",
            "telephone_number": "412-469-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLINICH",
        "first_name": "MARISSA",
        "middle_name": "PFOFF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD462629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfoffmk2@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Jefferson Hls",
            "address_1": "575 Coal Valley Rd Ste 277",
            "city": "Jefferson Hls",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "PFOFF",
            "middle_name": "KIRSTIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson HLS, PA

Sources for this page

Verify at the official NPI Registry.