Individual provider Active NPI

Jalit Tuchinda, MD

  • Internal Medicine Physician
  • McKees Rocks, PA
National Provider Identifier
1417987462
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD035022L Issued in PA
Practice address
596 Pine Hollow Road
MC Kees Rocks, PA 15136-1661
Phone
(412) 771-6003
Fax
(412) 771-3575
NPI assigned
Jul 4, 2006
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD035022L PA
Internal Medicine Physician 207R00000X MD035022L PA Primary

Addresses

Primary practice location

596 Pine Hollow Road
MC Kees Rocks, PA 15136-1661

Mailing address

596 Pine Hollow Road
MC Kees Rocks, PA 15136-1661
Phone (412) 771-6003

Other identifiers 3

IdentifierTypeStateIssuer
0007503970008MedicaidPA
204862OtherHEALTH AMERICA
1000109OtherGATEWAY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035022LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
John C Phillips MD LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1417987462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 PINE HOLLOW ROAD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361661",
            "telephone_number": "412-771-6003",
            "fax_number": "412-771-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PINE HOLLOW ROAD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361661",
            "telephone_number": "412-771-6003",
            "fax_number": "412-771-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHINDA",
        "first_name": "JALIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD035022L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035022L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007503970008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "204862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1000109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKees Rocks, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.