Individual provider Active NPI

Patrick Joseph Polsunas, MD

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1366972549
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A178667 Issued in CA
Practice address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone
(412) 647-6340
NPI assigned
Jun 19, 2017
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 MT213968 PA
Physical Medicine & Rehabilitation Physician 208100000X A178667 CA Primary

Addresses

Primary practice location

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410

Mailing address

3600 Forbes Avenue
Forbes Tower Plaza Suite 140
Pittsburgh, PA 15213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230525001405 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9436428588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

Practice addresses (Care Compare)

1604 Blossom Hill Rd
Suite 10
San Jose, CA 95124-6350
Phone (408) 528-8833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178667CAMDPhysical Medicine & Rehabilitation Physician
MT213968PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation CurrentSince Feb 2, 2023 Accepting new patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation Current Accepting new patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation CurrentSince Feb 2, 2023 Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 202
Los Gatos, CA 95032
Phone (408) 528-8833

16275 Monterey St
Ste H
Morgan Hill, CA 95037
Phone (408) 528-8333

1604 Blossom Hill Rd
Ste 10
San Jose, CA 95124
Phone (408) 528-8833

Organizations & group practices 3

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1366972549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVENUE",
            "address_2": "FORBES TOWER PLAZA SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410",
            "telephone_number": "412-647-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSUNAS",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT213968",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A178667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.