Individual provider Active NPI

Sara D Shellhammer, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1477843522
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054751 Issued in PA
Practice address
5700 Corporate Dr Ste 700
Pittsburgh, PA 15237-5829
Phone
(412) 630-2670
Fax
(412) 630-2613
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054751 PA Primary

Addresses

Primary practice location

5700 Corporate Dr Ste 700
Pittsburgh, PA 15237-5829

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (412) 369-9550

Other identifiers 1

IdentifierTypeStateIssuer
103315150-0001MedicaidPA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000070 PA Practitioner - Physician Assistant 1052597721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

3601 McKnight E Dr
Pittsburgh, PA 15237-6400
Phone (412) 369-9943

5700 Corporate Dr
Pittsburgh, PA 15237-5861
Phone (412) 630-2670

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Dec 8, 2014 Accepting new patients
Warren General Hospital PastSince Apr 1, 2006 Accepting new patients
Warren General Hospital Past Accepting new patients

Locations

8150 Perry Hwy
Ste 300
Pittsburgh, PA 15237
Phone (412) 369-9550

5700 Corporate Dr
Ste 700
Pittsburgh, PA 15237
Phone (412) 630-2670

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1477843522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CORPORATE DR STE 700",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375829",
            "telephone_number": "412-630-2670",
            "fax_number": "412-630-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLHAMMER",
        "first_name": "SARA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103315150-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.