NPIMap

Individual provider Active NPI

Gayatri Jaiswal, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Canonsburg, PA
National Provider Identifier
1376773275
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD472235 Issued in PA
Practice address
1900 Waterdam Plaza Dr Ste 2
Canonsburg, PA 15317-5442
Phone
(724) 941-7490
Fax
(724) 941-5231
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD472235 PA Primary

Addresses

Primary practice location

1900 Waterdam Plaza Dr Ste 2
Canonsburg, PA 15317-5442

Mailing address

1900 Waterdam Plaza Dr Ste 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

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
I20210302000098 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 3870749195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1900 Waterdam Plaza Dr
FL 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

Hospital & facility affiliations

  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD472235PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Endocrinology, Diabetes & Metabolism CurrentSince Jan 5, 2021 Accepting new patients
Allegheny Clinic CurrentSince Jan 5, 2021 Accepting new patients
Allegheny Clinic Past Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 365
Jefferson Hills, PA 15025
Phone (412) 469-7030

1900 Waterdam Plaza Dr
Ste 2
McMurray, PA 15317
Phone (724) 260-7531

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: gjaiswal346180@direct.ahn.org

Organizations & group practices 5

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 11

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1376773275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR STE 2",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-941-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR STE 2",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "GAYATRI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD472235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.