NPIMap

Individual provider Active NPI

Nadine Ghossoub Dandachi, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1386832343
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD444779 Issued in PA
Practice address
3601 5TH Ave
4TH Floor Falk, Comprehensive Lung Center
Pittsburgh, PA 15213-3403
Phone
(412) 648-6161
NPI assigned
Oct 4, 2007
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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 MD444779 PA Primary

Addresses

Primary practice location

3601 5TH Ave
4TH Floor Falk, Comprehensive Lung Center
Pittsburgh, PA 15213-3403

Mailing address

200 Lothrop St
Forbes Tower, Room 9055
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Other names 1

  • Nadine Ghossoub El Ezzeddin Former name

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
I20121008000192 PA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2860641834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

155 Wilson Ave
Washington, PA 15301-3336

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD444779PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 20, 2012 Accepting new patients
Washington Physician Services Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 20, 2012 Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients
Upmc Washington Past Accepting new patients

Locations

200 Lothrop St
Rm 9055
Pittsburgh, PA 15213
Phone (412) 647-8384

3459 5th Ave
#G
Pittsburgh, PA 15213
Phone (412) 648-6161

3601 5th Ave
Fl 4
Pittsburgh, PA 15213
Phone (412) 648-3200

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

Interoperability endpoints

  • Direct secure messaging: nadine.dandachi@whc.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1386832343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER, ROOM 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 5TH AVE",
            "address_2": "4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133403",
            "telephone_number": "412-648-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDACHI",
        "first_name": "NADINE",
        "middle_name": "GHOSSOUB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD444779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "EL EZZEDDIN",
            "middle_name": "GHOSSOUB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.