Organization Active NPI

Hemophilia Center of Western PA

  • Hematology (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1508939836
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
58 Issued in PA
Legal business name
HEMOPHILIA CENTER OF WESTERN PA
Practice address
3636 Boulevard of the Allies
Pittsburgh, PA 15213
Phone
(412) 209-7280
Fax
(412) 209-7281
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Jeffrey D Wahal
Title
Director
Phone
(412) 209-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0000X 58 PA Primary

Addresses

Primary practice location

3636 Boulevard of the Allies
Pittsburgh, PA 15213

Mailing address

201 N Craig St Ste 500
Pittsburgh, PA 15213-1516
Phone (412) 209-7280

Other identifiers 6

IdentifierTypeStateIssuer
225236OtherHEALTH AMERICA
DD6458OtherRAILRAOD MEDICARE
554607OtherPAHIGHMARK BLUE SHIELD
0340961000OtherPAINDEPENDENCE BLUE SHIELD
1508754OtherGATEWAY HEALTH PLAN
0018116010001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000707 PA Part B Supplier - Clinic/Group Practice 8123065935 Receives reassigned benefits from 3 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

875 Greentree Rd
#5
Pittsburgh, PA 15220
Phone (412) 209-7270

201 N Craig St
Ste 500
Pittsburgh, PA 15213
Phone (412) 208-7280

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1508939836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CRAIG ST STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131516",
            "telephone_number": "412-209-7280",
            "fax_number": "412-209-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 BOULEVARD OF THE ALLIES",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-209-7280",
            "fax_number": "412-209-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMOPHILIA CENTER OF WESTERN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "WAHAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-209-7360"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "PA",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "225236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "DD6458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "554607",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "0340961000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1508754",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018116010001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.