Individual provider Active NPI

Stephen M. Colodny, M.D.

  • Infectious Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1376542720
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD035103E Issued in PA
Practice address
101 Drake Rd
Suite C
Pittsburgh, PA 15241-1556
Phone
(412) 347-0057
Fax
(412) 347-0062
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD035103E PA Primary

Addresses

Primary practice location

101 Drake Rd
Suite C
Pittsburgh, PA 15241-1556

Mailing address

101 Drake Rd
Suite C
Pittsburgh, PA 15241-1556
Phone (412) 347-0057

Other identifiers 1

IdentifierTypeStateIssuer
0010423550002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035103EPAMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1376542720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DRAKE RD",
            "address_2": "SUITE C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411556",
            "telephone_number": "412-347-0057",
            "fax_number": "412-347-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DRAKE RD",
            "address_2": "SUITE C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411556",
            "telephone_number": "412-347-0057",
            "fax_number": "412-347-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLODNY",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD035103E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010423550002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.