Individual provider Active NPI

Sapna Vasudevan, MD

  • Internal Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1376653857
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD417443 Issued in PA
Practice address
2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841
Phone
(412) 942-8500
Fax
(412) 942-8519
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD417443 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841

Mailing address

1000 Bower Hill Road
Attn Affiliate Billing- Pamalyn Patnesky
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Direct
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20040324000184 PA Practitioner - Internal Medicine 6901797380 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD417443PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Jul 1, 2011 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Jul 1, 2011 Accepting new patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
St Clair Hospital Upmc Cancer Center Petct Past Accepting new patients

Locations

2000 Oxford Dr
Ste 420
Bethel Park, PA 15102
Phone (412) 279-5372

1000 Bower Hill Rd
Fl 4
Pittsburgh, PA 15243

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

300 Cedar Blvd
Pittsburgh, PA 15228
Phone (412) 561-1484

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1376653857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ATTN AFFILIATE BILLING- PAMALYN PATNESKY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548",
            "fax_number": "412-942-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 420",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "412-942-8500",
            "fax_number": "412-942-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "SAPNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD417443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Dr",
            "address_2": "420",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Dr Ste 420",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.