NPIMap

Individual provider Active NPI

Kelsie Jean Mittereder, DO

  • Obstetrics & Gynecology Physician
  • Monroeville, PA
National Provider Identifier
1396235529
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS022138 Issued in PA
Practice address
2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500
Phone
(412) 856-7500
Fax
(412) 856-6079
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AZ
Obstetrics & Gynecology Physician 207V00000X OS022138 PA Primary

Addresses

Primary practice location

2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500

Mailing address

2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500
Phone (412) 856-7500

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
I20220714000609 PA Practitioner - Obstetrics/Gynecology 4688062011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

301 Ohio River Blvd
Suite 301
Sewickley, PA 15143-1300
Phone (412) 741-6530

Hospital & facility affiliations

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS022138PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients
West Penn Allegheny Health System, Inc Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2580 Haymaker Rd
Ste 201
Monroeville, PA 15146
Phone (412) 856-6079

200 Quinn Dr
Ste 270
Pittsburgh, PA 15275

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

301 Ohio River Blvd
Ste 301
Sewickley, PA 15143
Phone (412) 741-6530

12311 Perry Hwy
Fl 2
Wexford, PA 15090
Phone (412) 847-1166

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Interoperability endpoints

  • Direct secure messaging: kmittereder543253@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1396235529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 201",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-856-7500",
            "fax_number": "412-856-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 201",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-856-7500",
            "fax_number": "412-856-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTEREDER",
        "first_name": "KELSIE",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS022138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.