Active NPI
Integrated Vascular and Interventional Radiology Associates of Pittsbu
- Vascular & Interventional Radiology Physician
- Cranberry Township, PA
National Provider Identifier
1407613409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- INTEGRATED VASCULAR AND INTERVENTIONAL RADIOLOGY ASSOCIATES OF PITTSBU
- Practice address
- 51 Dutilh Rd Ste 100
Cranberry Township, PA 16066-4148 - Phone
- (724) 201-2399
- Fax
- (724) 776-3864
- NPI assigned
- Mar 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Fadl, MD
- Title
- Physician Owner
- Phone
- (410) 419-0266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
51 Dutilh Rd Ste 100
Cranberry Township, PA 16066-4148
Mailing address
51 Dutilh Rd Ste 100
Cranberry Township, PA 16066-4148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Clairton, PA
- NPI 1144510603
Vascular & Interventional Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1407613409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 DUTILH RD STE 100",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160664148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 DUTILH RD STE 100",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160664148",
"telephone_number": "724-201-2399",
"fax_number": "724-776-3864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED VASCULAR AND INTERVENTIONAL RADIOLOGY ASSOCIATES OF PITTSBU",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-05",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "FADL",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "410-419-0266",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.