NPIMap

Organization Active NPI

University of Pittsburgh Physicians

Doing business as Suburban East Medical Center UPMC

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1407985674
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF PITTSBURGH PHYSICIANS
Doing business as
Suburban East Medical Center UPMC
Practice address
3436 William Penn Hwy
Suite 166
Pittsburgh, PA 15235-5411
Phone
(412) 823-6222
NPI assigned
Mar 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mark Ehalt
Title
Director
Phone
(412) 647-0943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3436 William Penn Hwy
Suite 166
Pittsburgh, PA 15235-5411

Mailing address

3436 William Penn Hwy
Suite 166
Pittsburgh, PA 15235-5411
Phone (412) 823-6222

Other identifiers 1

IdentifierTypeStateIssuer
026196OtherPAHIGHMARK MEDICARE SERVICE

Other names 1

  • Suburban East Medical Center UPMC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000883 PA Part B Supplier - Clinic/Group Practice 8729990239 Receives reassigned benefits from 8,266 practitioners
48 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 48

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 48

National Provider Directory

National Provider Directory
Tax ID family
Health Center Associates Upmc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1407985674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 WILLIAM PENN HWY",
            "address_2": "SUITE 166",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355411",
            "telephone_number": "412-823-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 WILLIAM PENN HWY",
            "address_2": "SUITE 166",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355411",
            "telephone_number": "412-823-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PITTSBURGH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE SERVICE",
            "identifier": "026196",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban East Medical Center UPMC",
            "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 Sep 5, 2007; 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.