NPIMap

Individual provider Active NPI

Katherine Homrok, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1376541375
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0447701E Issued in PA
Practice address
1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881
Phone
(412) 247-2310
Fax
(412) 247-2373
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0447701E PA Primary

Addresses

Primary practice location

1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881

Mailing address

1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881
Phone (412) 247-2310

Other identifiers 1

IdentifierTypeStateIssuer
1654902MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000271 PA Practitioner - Family Practice 3678506318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Metro Family Practice, Inc.Group PAC ID 9032027727, 16 clinicians

Practice addresses (Care Compare)

1789 S Braddock Ave
Suite 410 Metro Community Health Center
Pittsburgh, PA 15218-1881
Phone (412) 247-2310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0447701EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice, Inc. CurrentSince Jun 8, 2018 Accepting new patients
Metro Family Practice Inc. Family Medicine Past Accepting new patients
West Penn Allegheny Health System, Inc. Past Accepting new patients

Locations

2566 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2760

1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218
Phone (412) 247-2310

901 West St
#B
Pittsburgh, PA 15221
Phone (412) 247-2310

Interoperability endpoints

  • Direct secure messaging: katherine.homrok.1@24754.direct.athenahealth.com

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 8

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1376541375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181881",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181881",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMROK",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD0447701E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1654902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.