Active NPI
Ana Radovic-Stakic, M.D.
- Pediatric Adolescent Medicine Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD442386
- Practice address
- 120 Lytton Ave
Pittsburgh, PA 15213-1481 - Phone
- (412) 692-6677
- Fax
- (412) 692-8584
- NPI assigned
- Jul 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT193209 | PA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD442386 | PA | Primary |
Addresses
Primary practice location
120 Lytton Ave
Pittsburgh, PA 15213-1481
Mailing address
120 Lytton Ave
Pittsburgh, PA 15213-1481
Phone (412) 692-6677
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ana.radovicstakic@upmcdirect.com |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT193209 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Pediatrics | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Upmc Emergency Medicine Inc | Past | Accepting new patients |
Locations
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
3420 5th Ave
Pittsburgh, PA 15213
Phone (412) 692-5285
120 Lytton Ave
Ste M60
Pittsburgh, PA 15213
Phone (412) 621-6540
120 Lytton Ave
Pittsburgh, PA 15213
Phone (412) 647-9494
4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030
519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1225096639
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641081600000",
"number": "1457514994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 LYTTON AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152131481",
"telephone_number": "412-692-6677",
"fax_number": "412-692-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 LYTTON AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152131481",
"telephone_number": "412-692-6677",
"fax_number": "412-692-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADOVIC-STAKIC",
"first_name": "ANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-04",
"last_updated": "2022-01-02",
"certification_date": "2022-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT193209",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD442386",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ana.radovicstakic@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 2, 2022; 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.