Organization Active NPI

Teredesai McCann & Associates PC

  • Nephrology Physician
  • Bridgeville, PA
National Provider Identifier
1447289350
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
TEREDESAI MCCANN & ASSOCIATES PC
Practice address
1597 Washington Pike Ste A22
Bridgeville, PA 15017-2878
Phone
(412) 489-6919
Fax
(412) 489-6279
NPI assigned
Jul 2, 2006
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Dr. Pradip R Teredesai, MDNPI 1528044740
Title
President
Phone
(724) 384-8392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1597 Washington Pike Ste A22
Bridgeville, PA 15017-2878

Mailing address

2242 Darlington Rd Unit B
Beaver Falls, PA 15010-1329
Phone (724) 384-8392

Other identifiers 3

IdentifierTypeStateIssuer
3810005102MedicaidWV
0015514040006MedicaidPA
CF4536OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000398 PA Part B Supplier - Clinic/Group Practice 4183601982 Receives reassigned benefits from 15 practitioners
Practice locations: Canonsburg, PA; Wexford, PA; Waynesburg, PA; Washington, PA; MC Kees Rocks, PA; Cecil, PA; Bridgeville, PA; Beaver Falls, PA…

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

401 Market St
Ste 902
Steubenville, OH 43952
Phone (614) 282-4893

2400 Hospital Dr
Aliquippa, PA 15001
Phone (724) 378-0041

400 Corporation Dr
Ste 425
Aliquippa, PA 15001
Phone (724) 375-4133

1682 State St
Baden, PA 15005
Phone (724) 869-2074

350 Logan Ln
Baden, PA 15005
Phone (724) 869-2700

2242 Darlington Rd
Beaver Falls, PA 15010
Phone (724) 843-9150

2242 Darlington Rd
Ste B
Beaver Falls, PA 15010
Phone (724) 384-8392

1597 Washington Pike
Ste A22
Bridgeville, PA 15017
Phone (412) 489-6919

1200 Corporate Dr
Canonsburg, PA 15317
Phone (724) 745-5565

160 Gallery Dr
#144
McMurray, PA 15317
Phone (724) 228-2611

12300 Perry Hwy
Ste 204
Wexford, PA 15090
Phone (724) 719-2303

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1447289350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 DARLINGTON RD UNIT B",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101329",
            "telephone_number": "724-384-8392",
            "fax_number": "724-384-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE STE A22",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172878",
            "telephone_number": "412-489-6919",
            "fax_number": "412-489-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEREDESAI MCCANN & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "TEREDESAI",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-384-8392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005102",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015514040006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF4536",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.