Individual provider Active NPI

Kristin L. Koontz, PA

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1447211065
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052153 Issued in PA
Practice address
1850 McLaughlin Run Rd
Suite 208
Pittsburgh, PA 15241-2332
Phone
(412) 221-2121
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052153 PA Primary

Addresses

Primary practice location

1850 McLaughlin Run Rd
Suite 208
Pittsburgh, PA 15241-2332

Mailing address

26 Craven Dr
Charleroi, PA 15022-2507
Phone (724) 550-6024

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102000568 PA Practitioner - Physician Assistant 1355739962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 28, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 28, 2021 Accepting new patients
Allegheny Clinic Pediatrics Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Pediatric Alliance, St. Clair Division Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Organizations & group practices 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1447211065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CRAVEN DR",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222507",
            "telephone_number": "724-550-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MCLAUGHLIN RUN RD",
            "address_2": "SUITE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412332",
            "telephone_number": "412-221-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "KRISTIN",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.