NPIMap

Individual provider Active NPI

Amoghavarsha Puli, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1407297450
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD463442 Issued in PA
Practice address
3708 5TH Ave Ste 501
Pittsburgh, PA 15213-3427
Phone
(125) 864-3550
NPI assigned
Jul 7, 2013
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD463442 PA Primary
Nephrology Physician 207RN0300X MD463442 PA

Addresses

Primary practice location

3708 5TH Ave Ste 501
Pittsburgh, PA 15213-3427

Mailing address

3708 5TH Ave Ste 501
Pittsburgh, PA 15213-3427
Phone (412) 586-3550

Other identifiers 1

IdentifierTypeStateIssuer
103526234MedicaidPA

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
I20180619002174 PA Practitioner - Internal Medicine 8123324506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
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)

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7750

117 Vip Dr
Suite 120
Wexford, PA 15090-6934
Phone (412) 802-3043

1350 Locust St
Pittsburgh, PA 15219-4738

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

1515 Locust St
Pittsburgh, PA 15219-5131

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

225 S Ctr Ave
Somerset, PA 15501-2033
Phone (814) 443-5000

300 Halket St
Pittsburgh, PA 15213-3108

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463442PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Nephrology CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

1350 Locust St
Ste 100
Pittsburgh, PA 15219
Phone (412) 552-9016

1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911

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

117 Vip Dr
Ste 120
Wexford, PA 15090
Phone (412) 586-9700

Interoperability endpoints

  • Direct secure messaging: amoghavarsha.puli@upmcdirect.com

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1407297450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 5TH AVE STE 501",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133427",
            "telephone_number": "412-586-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 5TH AVE STE 501",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133427",
            "telephone_number": "125-864-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULI",
        "first_name": "AMOGHAVARSHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-07",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD463442",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD463442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103526234",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.