NPIMap

Individual provider Active NPI

Peter Mortensen Jr., MD

  • Neuro-ophthalmology Physician
  • Pittsburgh, PA
National Provider Identifier
1376907840
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
MD489719 Issued in PA
Practice address
1622 Locust St
Pittsburgh, PA 15219-5924
Phone
(412) 530-5470
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X T0576 TX
Neuro-ophthalmology Physician 207WX0109X MD489719 PA Primary

Addresses

Primary practice location

1622 Locust St
Pittsburgh, PA 15219-5924

Mailing address

1622 Locust St
Pittsburgh, PA 15219-5924
Phone (412) 530-5470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.w.mortensen@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210702000897 TX Practitioner - Ophthalmology 0446651095 Reassigns benefits to 1 organization
I20250507002563 PA Practitioner - Ophthalmology 0446651095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200

2 Hot Meal St
Pittsburgh, PA 15203-2348

203 Lothrop St
Pittsburgh, PA 15213-2548
Phone (412) 647-6461

Hospital & facility affiliations

  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince May 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
TMH Physician Associates PLLC Ophthalmology CurrentSince Aug 16, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 16, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince May 1, 2025 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

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

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

200 Lothrop St
Ste N715
Pittsburgh, PA 15213
Phone (412) 692-4700

6560 Fannin St
Ste 450
Houston, TX 77030
Phone (713) 357-7400

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: peter.w.mortensen@upmcdirect.com
  • Direct secure messaging: peter.mortensen.1@19643.direct.athenahealth.com

Organizations & group practices 7

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1376907840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195924",
            "telephone_number": "412-530-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195924",
            "telephone_number": "412-530-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T0576",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "PA",
            "license": "MD489719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.w.mortensen@upmcdirect.com",
            "affiliation": "N",
            "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.