Individual provider Active NPI

Michelle Kirshen, MD

  • Diagnostic Radiology Physician
  • Washington, PA
National Provider Identifier
1417955782
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD060516L Issued in PA
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(724) 225-7000
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD060516L PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

PO Box 951847
Cleveland, OH 44193-0020
Phone (866) 338-6471

Other identifiers 2

IdentifierTypeStateIssuer
2612426MedicaidOH
0016481460001MedicaidPA

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
I20070801000790 PA Practitioner - Diagnostic Radiology 8820046204 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060516LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Washington Radiologists, Inc. Diagnostic Radiology CurrentSince Sep 5, 1997 Accepting new patients
Upmc and the Washington Hospital Cancer Center CurrentSince Jul 2, 2012 Accepting new patients

Locations

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1417955782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951847",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930020",
            "telephone_number": "866-338-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-225-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHEN",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD060516L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2612426",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016481460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.