Organization Active NPI

University of Pittsburgh Cancer Institute Cancer Services

Doing business as UPMC Cancer Centers

  • Radiation Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1427025840
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
UNIVERSITY OF PITTSBURGH CANCER INSTITUTE CANCER SERVICES
Doing business as
UPMC Cancer Centers
Practice address
5115 Centre Ave
3Rd Floor
Pittsburgh, PA 15232-1301
Phone
(412) 235-1020
Fax
(412) 235-1030
NPI assigned
Mar 3, 2006
Last updated
Feb 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
James G Terwilliger
Title
Executive Director/Vice President
Phone
(412) 623-7976

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Hematology & Oncology Physician 207RH0003X NU
Physical Medicine & Rehabilitation Physician 208100000X MD421423 PA
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

5115 Centre Ave
3Rd Floor
Pittsburgh, PA 15232-1301

Mailing address

2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706

Other identifiers 10

IdentifierTypeStateIssuer
293383MedicaidOH
001427691OtherPAHIGHMARK
001464891OtherPAHIGHMARK
2589962MedicaidOH
100747231MedicaidPA
1370903OtherPAHIGHMARK
090348OtherPAMEDICARE IDTF
3810008543MedicaidWV
3810001950MedicaidWV
1347736OtherPAHIGHMARK

Other names 1

  • UPMC Cancer Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000811 PA Part B Supplier - Clinic/Group Practice 6709771587 Receives reassigned benefits from 111 practitioners
1 other NPI on this enrollment
Practice locations: Pittsburgh, PA; Washington, PA; Titusville, PA; Seneca, PA; Altoona, PA; Clarion, PA; Erie, PA; Farrell, PA…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1427025840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7706",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "address_2": "3RD FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301",
            "telephone_number": "412-235-1020",
            "fax_number": "412-235-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PITTSBURGH CANCER INSTITUTE CANCER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "TERWILLIGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "412-623-7976"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD421423",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001427691",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001464891",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2589962",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747231",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1370903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDTF",
            "identifier": "090348",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008543",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001950",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1347736",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Cancer Centers",
            "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 Feb 10, 2009; 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.