Individual provider Active NPI

Andrew D Kellerman, MD

  • Specialist
  • Monroeville, PA
National Provider Identifier
1528028586
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD033789E Issued in PA
Practice address
3824 Northern Pike
Suite 800
Monroeville, PA 15146-2141
Phone
(412) 372-0645
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD033789E PA Primary

Addresses

Primary practice location

3824 Northern Pike
Suite 800
Monroeville, PA 15146-2141

Mailing address

3824 Northern Pike
Suite 800
Monroeville, PA 15146-2141
Phone (412) 372-0645

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
I20040123000709 PA Practitioner - Obstetrics/Gynecology 9739081340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

125 Daugherty Dr
Monroeville, PA 15146-2749

2 Hot Meal St
Pittsburgh, PA 15203-2348

2500 Leechburg Rd
Lower Burrell, PA 15068-3061
Phone (724) 339-4418

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

300 Halket St
Pittsburgh, PA 15213-3108

4075 Monroeville Blvd
Suite 222
Monroeville, PA 15146-2529
Phone (412) 856-6674

8945 Route 30
North Huntingdon, PA 15642-2704
Phone (412) 684-3900

8945 State Route 30
North Huntingdon, PA 15642-2704
Phone (724) 861-8099

8955 State Route 30
Irwin, PA 15642-2704
Phone (866) 866-4196

8957 State Route 30
Irwin, PA 15642-2704
Phone (724) 864-8475

Hospital & facility affiliations

  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2010 Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1300 Oxford Dr
Ste 2D
Bethel Park, PA 15102
Phone (412) 854-5921

2500 Leechburg Rd
Lower Burrell, PA 15068
Phone (724) 226-1400

3824 Northern Pike
Ste 800
Monroeville, PA 15146
Phone (412) 372-0645

125 Daugherty Dr
Ste 401
Monroeville, PA 15146
Phone (412) 372-0645

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

11279 Perry Hwy
Ste 450
Wexford, PA 15090

Interoperability endpoints

  • Direct secure messaging: andrew.d.kellerman@upmcdirect.com

Organizations & group practices 6

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 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1528028586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "SUITE 800",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-372-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "SUITE 800",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-372-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD033789E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.