Individual provider Active NPI

Carey Thomas Vinson, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1518952993
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD031416E Issued in PA
Practice address
5215 Centre Ave
Pittsburgh, PA 15232-1303
Phone
(412) 623-2287
NPI assigned
Sep 13, 2005
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD031416E PA Primary

Addresses

Primary practice location

5215 Centre Ave
Pittsburgh, PA 15232-1303

Mailing address

615 Berkshire Dr
Pittsburgh, PA 15215-1514
Phone (412) 781-2516

Other identifiers 1

IdentifierTypeStateIssuer
01183120MedicaidPA

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
I20110407000235 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 9436333929 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 29, 2014 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 29, 2014 Accepting new patients
East Liberty Family Health Care Center, Inc. Current Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Pefha Health & Wellness Center Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

5215 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2817

Interoperability endpoints

  • Direct secure messaging: carey.vinson.1@18710.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1518952993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BERKSHIRE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152151514",
            "telephone_number": "412-781-2516",
            "fax_number": "412-544-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321303",
            "telephone_number": "412-623-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "CAREY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD031416E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01183120",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.