Individual provider Active NPI

Suman Yadam, DO

  • Pulmonary Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1508181710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS018963 Issued in PA
Practice address
490 E North Ave Ste 300
Pittsburgh, PA 15212
Phone
(412) 322-7202
Fax
(412) 322-2144
NPI assigned
Mar 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS018963 PA
Pulmonary Disease Physician 207RP1001X OS018963 PA Primary

Addresses

Primary practice location

490 E North Ave Ste 300
Pittsburgh, PA 15212

Mailing address

490 E North Ave Ste 300
Pittsburgh, PA 15212-4771
Phone (412) 322-7202

Other practice location 1

1350 Locust St Ste G104
Pittsburgh, PA 15219-4738
Phone (412) 232-5549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syadam205247@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171027002518 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2466732474 Reassigns benefits to 3 organizations
I20240425000587 VI Practitioner - Critical Care (Intensivists) 2466732474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-8289

Hospital & facility affiliations

  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Critical Care Medicine CurrentSince Mar 1, 2019 Accepting new patients
Allegheny Clinic CurrentSince Mar 1, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Critical Care Medicine Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Mar 4, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Mar 4, 2024 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1200 Brooks Ln
Jefferson Hls, PA 15025
Phone (412) 460-8300

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

490 E North Ave
Ste 300
Pittsburgh, PA 15212
Phone (412) 321-3344

701 Broad St
Ste 401
Sewickley, PA 15143
Phone (412) 749-4990

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 10

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 6

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508181710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124771",
            "telephone_number": "412-322-7202",
            "fax_number": "412-322-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-322-7202",
            "fax_number": "412-322-2144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Locust St Ste G104",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152194738",
            "country_code": "US",
            "telephone_number": "412-232-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADAM",
        "first_name": "SUMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "OS018963",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "OS018963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syadam205247@direct.ahn.org",
            "affiliation": "N",
            "address_1": "490 E North Ave Ste 300",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.