Active NPI
Upmc Community Medicine, Inc
Doing business as Moon Medical Associates - UPMC
- Internal Medicine Physician
- Coraopolis, PA
National Provider Identifier
1467041582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UPMC COMMUNITY MEDICINE, INC
- Doing business as
- Moon Medical Associates - UPMC
- Practice address
- 1600 Coraopolis Heights Rd Ste G
Coraopolis, PA 15108-4307 - Phone
- (412) 269-4114
- NPI assigned
- Jan 13, 2021
- Last updated
- Jan 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Devlin
- Title
- Director
- Phone
- (412) 432-7469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1600 Coraopolis Heights Rd Ste G
Coraopolis, PA 15108-4307
Mailing address
2 Hot Metal Street
Quantum One BLDG
Pittsburgh, PA 15203
Phone (412) 432-5864
Other names 1
- Moon Medical Associates - UPMC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000388 | PA | Part B Supplier - Clinic/Group Practice | 2062318975 |
Receives reassigned benefits from 1,494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
4490 Mount Royal Blvd
Ste 3100
Allison Park, PA 15101
Phone (412) 219-0386
1600 Coraopolis Heights Rd
Ste G
Coraopolis, PA 15108
Phone (412) 269-4114
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Medical Physician Assistant
- Pittsburgh, PA
- NPI 1184976458
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1295189348
-
- Dermatology Physician
- Pittsburgh, PA
- NPI 1750624839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610496000000",
"number": "1467041582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HOT METAL STREET",
"address_2": "QUANTUM ONE BLDG",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15203",
"telephone_number": "412-432-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CORAOPOLIS HEIGHTS RD STE G",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151084307",
"telephone_number": "412-269-4114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC COMMUNITY MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "DEVLIN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "412-432-7469"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moon Medical Associates - UPMC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.