Individual provider Active NPI

Kultar Shergill, MD

  • Pediatrics Physician
  • New Kensington, PA
National Provider Identifier
1508946971
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD066099L Issued in PA
Practice address
2300 Freeport Rd
New Kensington, PA 15068-4669
Phone
(412) 855-5988
Fax
(724) 335-8950
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD066099L PA Primary

Addresses

Primary practice location

2300 Freeport Rd
New Kensington, PA 15068-4669

Mailing address

2300 Freeport Rd
New Kensington, PA 15068-4669
Phone (412) 855-5988

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
I20160923001396 PA Practitioner - Pediatric Medicine 2769779487 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Professional Services Inc Pediatrics Current Accepting new patients
St Clair Professional Services Inc CurrentSince Jul 15, 2016 Accepting new patients
St Clair Professional Services Inc CurrentSince Jul 15, 2016 Accepting new patients
Allekiski Pediatrics Pediatrics Current Accepting new patients

Locations

2300 Freeport Rd
New Kensington, PA 15068
Phone (412) 855-5988

2300 Freeport Rd
Ste 12
New Kensington, PA 15068

1000 Bower Hill Rd
Fl 2
Pittsburgh, PA 15243
Phone (412) 942-4272

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1508946971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FREEPORT RD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150684669",
            "telephone_number": "412-855-5988",
            "fax_number": "724-335-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FREEPORT RD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150684669",
            "telephone_number": "412-855-5988",
            "fax_number": "724-335-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "KULTAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD066099L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.