Individual provider Active NPI

Jacques Chelly

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1376515148
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD417094 Issued in PA
Practice address
5230 Centre Ave
Pittsburgh, PA 15232-1304
Phone
(412) 623-2167
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD417094 PA Primary

Addresses

Primary practice location

5230 Centre Ave
Pittsburgh, PA 15232-1304

Mailing address

5230 Centre Ave
Pittsburgh, PA 15232-1304

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

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
I20101102000646 PA Practitioner - Addiction MedicinePractitioner - AnesthesiologyPractitioner - Family Practice 4789878919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Anesthesiology, Family Practice
Education
Other, 1976
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)

5230 Centre Ave
Pittsburgh, PA 15232-1304

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

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
MD417094PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 2, 2001 Accepting new patients
University of Pittsburgh Physicians Specialist CurrentSince Oct 2, 2001 Accepting new patients

Locations

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

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

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1376515148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321304",
            "telephone_number": "412-623-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLY",
        "first_name": "JACQUES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD417094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.