Individual provider Active NPI

Michael Straub, NURSE PRACTITIONER

  • Nurse Practitioner
  • Jefferson Hills, PA
National Provider Identifier
1477970051
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013572 Issued in PA
Practice address
1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652
Phone
(412) 775-2019
Fax
(127) 775-2243
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013572 PA Primary

Addresses

Primary practice location

1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652

Mailing address

1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-2019

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
I20140528001286 PA Practitioner - Nurse Practitioner 7719100338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Apr 7, 2014 Accepting new patients

Locations

L2540
Columbus, OH 43260

60 Highland Rd
Bethel Park, PA 15102
Phone (412) 531-6050

1105 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 369-9955

Interoperability endpoints

  • Direct secure messaging: mstraub@direct.meditouchehr.com

Organizations & group practices 1

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1477970051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 51 STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253652",
            "telephone_number": "412-775-2019",
            "fax_number": "127-775-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 51 STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253652",
            "telephone_number": "412-775-2019",
            "fax_number": "127-775-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "MICHAEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.