Individual provider Active NPI

Madhuri Mahajan, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1417910704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD06453L Issued in PA
Practice address
4520 Penn Ave
Pittsburgh, PA 15224-1314
Phone
(412) 681-4211
Fax
(412) 681-2315
NPI assigned
Apr 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD06453L PA Primary

Addresses

Primary practice location

4520 Penn Ave
Pittsburgh, PA 15224-1314

Mailing address

4520 Penn Ave
Pittsburgh, PA 15224-1314
Phone (412) 681-4211

Other identifiers 1

IdentifierTypeStateIssuer
0018779800001MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040310001104 PA Practitioner - Internal Medicine 0244128122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D. Singh MD and AssociatesGroup PAC ID 7416845367, 5 clinicians

Practice addresses (Care Compare)

900 Mount Royal Blvd
Pittsburgh, PA 15223-1060
Phone (412) 681-4211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD06453LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D. Singh MD and Associates Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients
Vincentian Home Past Accepting new patients

Locations

121 Freeport Rd
Fl 2
Blawnox, PA 15238
Phone (412) 784-7971

4520 Penn Ave
Pittsburgh, PA 15224
Phone (412) 622-4927

4520 Penn Ave
#2
Pittsburgh, PA 15224
Phone (412) 681-4211

900 Mount Royal Blvd
Pittsburgh, PA 15223
Phone (412) 487-5706

Interoperability endpoints

  • Direct secure messaging: madhuri.v.mahajan@upmcdirect.com

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417910704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241314",
            "telephone_number": "412-681-4211",
            "fax_number": "412-681-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241314",
            "telephone_number": "412-681-4211",
            "fax_number": "412-681-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "MADHURI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD06453L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018779800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.