NPIMap

Organization Active NPI

Allegheny Clinic

Doing business as AGH Podiatry

  • Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1386922375
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ALLEGHENY CLINIC
Doing business as
AGH Podiatry
Practice address
490 E North Ave
Suite405
Pittsburgh, PA 15212-4740
Phone
(412) 359-8079
Fax
(412) 359-8070
NPI assigned
Jul 26, 2011
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Denise Noel
Title
Director Provider Enrollment
Phone
(412) 330-5861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

490 E North Ave
Suite405
Pittsburgh, PA 15212-4740

Mailing address

490 E North Ave
Suite405
Pittsburgh, PA 15212-4740
Phone (412) 359-8079

Other names 1

  • AGH Podiatry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000602 PA Part B Supplier - Clinic/Group Practice 5395649586 Receives reassigned benefits from 3,418 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

2566 Haymaker Rd
Ste 203
Monroeville, PA 15146
Phone (412) 856-8755

490 E North Ave
Ste 405
Pittsburgh, PA 15212
Phone (412) 330-5015

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1386922375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE405",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-359-8079",
            "fax_number": "412-359-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE405",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-359-8079",
            "fax_number": "412-359-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "412-330-5861"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.ahn.org",
            "affiliation": "N",
            "address_1": "490 E North Ave",
            "address_2": "Suite405",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AGH Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AGH Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.