Active NPI
Allen J Budek, DO
- Family Medicine Physician
- Hermitage, PA
National Provider Identifier
1477541332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS012529
- Practice address
- 295 N Kerrwood Dr Ste 110
Hermitage, PA 16148-5207 - Phone
- (724) 253-3428
- Fax
- (724) 253-3029
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34008584 | OH | |
| Family Medicine Physician | 207Q00000X | OS012529 | PA | Primary |
Addresses
Primary practice location
295 N Kerrwood Dr Ste 110
Hermitage, PA 16148-5207
Mailing address
353 N Duffy Rd
Butler, PA 16001-1138
Phone (724) 346-1596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2580292 | Medicaid | OH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070425000063 | PA | Practitioner - Family Practice | 9537192463 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012529 | PA | MD | Family Medicine 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 | Family Medicine | Current | Accepting new patients |
Locations
1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1477541332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 N DUFFY RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011138",
"telephone_number": "724-346-1596",
"fax_number": "724-346-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 N KERRWOOD DR STE 110",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161485207",
"telephone_number": "724-253-3428",
"fax_number": "724-253-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDEK",
"first_name": "ALLEN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34008584",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS012529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2580292",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.