Jack Todd Wahrenberger, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 050618 L Issued in PA

Practice address

249 S 9TH St
Pittsburgh, PA 15203-1265

Phone

(412) 697-3260

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Pittsburgh School of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jack.wahrenberger@pmfhc.eclinicaldirectplus.com

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.

• Mercy Life Center Corporation

  dba Mercy Behavorial Health

  • Public Health or Welfare Agency
  • Pittsburgh, PA
  • NPI 1720075104
  Medicare reassignment NPD
• Mercy Life Center Corp

  dba Pittsburgh Mercy Family Health Center

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1073883161
  NPD

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

• Upmc Passavant

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1225047699
  Care Compare affiliation
• Upmc Passavant

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1639218936

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1396740767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031265",
            "telephone_number": "412-697-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031265",
            "telephone_number": "412-697-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHRENBERGER",
        "first_name": "JACK",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 050618 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014788970006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Rafik Wahba, M.D.
• Adil Waheed, DO
• Kathryn Bertolino Wahl, CRNA
• Leslie A Wahl, D.D.S.
• Bethanie Wahlen
• Sarah Waida
• Mary Beth Waine, LPC
• Booth Wainscoat, DO
• Kaitlin Nicole Waite, PA-C
• Kimberly Beth Waits

• Family Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.