Organization Active NPI

Sports Medicine & Joint Replacement Specialists Corporation

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1447423843
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION
Practice address
345 Mount Lebanon Blvd
Pittsburgh, PA 15234-1504
Phone
(412) 207-9780
Fax
(412) 207-9782
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Mrs. Linda L Habib
Title
Practice Manager
Phone
(412) 207-9780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

345 Mount Lebanon Blvd
Pittsburgh, PA 15234-1504

Mailing address

PO Box 1116
Wexford, PA 15090-1116
Phone (412) 207-9780

Other identifiers 1

IdentifierTypeStateIssuer
10109443001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080530000485 PA Part B Supplier - Clinic/Group Practice 7416027636 Receives reassigned benefits from 5 practitioners
Practice locations: Greensburg, PA; Pittsburgh, PA; Warrendale, PA
O20141017001213 PA DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports Medicine 7416027636 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

542 Rugh St
Greensburg, PA 15601
Phone (412) 921-5101

995 Greentree Rd
Ste 2
Pittsburgh, PA 15220
Phone (412) 921-5101

802 Warrendale Village Dr
Ste 802B
Warrendale, PA 15086

802 Warrendale Village Dr
Fl 1
Warrendale, PA 15086
Phone (412) 207-9780

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1447423843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901116",
            "telephone_number": "412-207-9780",
            "fax_number": "412-207-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MOUNT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341504",
            "telephone_number": "412-207-9780",
            "fax_number": "412-207-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "412-207-9780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10109443001",
            "state": "PA"
        }
    ],
    "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 Apr 12, 2016; 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.