Individual provider Active NPI

Sigurdur R Petursson, MD

  • Hematology & Oncology Physician
  • Butler, PA
National Provider Identifier
1467454983
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD016623E Issued in PA
Practice address
160 Hollywood Dr FL 2
Butler, PA 16001-5600
Phone
(724) 282-6175
Fax
(724) 482-1115
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD016623E PA Primary

Addresses

Primary practice location

160 Hollywood Dr FL 2
Butler, PA 16001-5600

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 622-0290

Other identifiers 1

IdentifierTypeStateIssuer
000965499MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spetursson21647@direct.ahn.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000110 PA Practitioner - Hematology/Oncology 0042104762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical Oncology Hematology & Oncology CurrentSince Jan 1, 2004 Accepting new patients
Allegheny Clinic Hematology & Oncology PastSince Oct 11, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

160 Hollywood Dr
Fl 2
Butler, PA 16001
Phone (724) 282-6175

102 Technology Dr
Ste 110
Butler, PA 16001
Phone (724) 282-6175

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

247 Morewood Ave
Pittsburgh, PA 15213
Phone (412) 622-0290

5200 Centre Ave
Ste 706
Pittsburgh, PA 15232
Phone (412) 461-4401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1467454983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290",
            "fax_number": "412-681-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOLLYWOOD DR FL 2",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015600",
            "telephone_number": "724-282-6175",
            "fax_number": "724-482-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETURSSON",
        "first_name": "SIGURDUR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD016623E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000965499",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spetursson21647@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "160 Hollywood Dr Fl 2",
            "city": "Butler",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160015600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.