Individual provider Active NPI

David Lobur Jr., M.D.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1487816153
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD444854 Issued in PA
Practice address
3830 S Water St
Pittsburgh, PA 15203-2375
Phone
(412) 422-5433
Fax
(412) 422-1935
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD444854 PA
Family Medicine Physician 207Q00000X MD444854 PA Primary

Addresses

Primary practice location

3830 S Water St
Pittsburgh, PA 15203-2375

Mailing address

3830 S Water St
Pittsburgh, PA 15203-2375
Phone (412) 422-5433

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
I20120725000386 PA Practitioner - HospitalistPractitioner - Internal Medicine 6204092927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Pittsburgh Center for Functional MedicineGroup PAC ID 1052676210, 2 clinicians

Practice addresses (Care Compare)

3830 S Water St
Pittsburgh, PA 15203-2375
Phone (412) 422-5433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD444854PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2012 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Pittsburgh Center for Functional Medicine CurrentSince Mar 19, 2018 Accepting new patients
Squirrel Hill Family Wellness Center Past Accepting new patients

Locations

4354 Murray Ave
Pittsburgh, PA 15217
Phone (412) 422-5433

3830 S Water St
Pittsburgh, PA 15203
Phone (412) 422-5433

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 5

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1487816153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032375",
            "telephone_number": "412-422-5433",
            "fax_number": "412-422-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032375",
            "telephone_number": "412-422-5433",
            "fax_number": "412-422-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBUR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD444854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD444854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.