Active NPI
Kristin L. Koontz, PA
- Medical Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1447211065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA052153
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | 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.
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- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Pediatrics Physician
- Carnegie, PA
- NPI 1326436619
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1013220094
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.