Individual provider Active NPI

Fernando D Hayetian, MD

  • Surgery Physician
  • Natrona Heights, PA
National Provider Identifier
1508013327
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD434627 Issued in PA
Practice address
1629 Union Ave Ste 4
Natrona Heights, PA 15065-2134
Phone
(724) 671-1161
Fax
(724) 671-1170
NPI assigned
Aug 22, 2008
Last updated
May 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD434627 PA Primary

Addresses

Primary practice location

1629 Union Ave Ste 4
Natrona Heights, PA 15065-2134

Mailing address

1629 Union Ave Ste 4
Natrona Heights, PA 15065-2134
Phone (724) 671-1161

Other identifiers 1

IdentifierTypeStateIssuer
102203640MedicaidPA

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
I20080912000204 PA Practitioner - General Surgery 6709952989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

1050 Bower Hill Rd
Pittsburgh, PA 15243-1866
Phone (412) 572-6164

350 Broughton Rd
Bethel Park, PA 15102-3926
Phone (412) 835-4886

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Oct 1, 2023 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: fhayetian201816@direct.swmed.us

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1508013327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 UNION AVE STE 4",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652134",
            "telephone_number": "724-671-1161",
            "fax_number": "724-671-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 UNION AVE STE 4",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652134",
            "telephone_number": "724-671-1161",
            "fax_number": "724-671-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYETIAN",
        "first_name": "FERNANDO",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD434627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102203640",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

Verify at the official NPI Registry.