Individual provider Active NPI

Pradip R Teredesai, M.D.

  • Nephrology Physician
  • Bridgeville, PA
National Provider Identifier
1528044740
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD017691E Issued in PA
Practice address
1597 Washington Pike
Suite a-22
Bridgeville, PA 15017-2894
Phone
(412) 489-6919
Fax
(412) 489-6279
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD017691E PA Primary

Addresses

Primary practice location

1597 Washington Pike
Suite a-22
Bridgeville, PA 15017-2894

Mailing address

2242 Darlington Rd
Unit B
Beaver Falls, PA 15010-1329
Phone (724) 384-8392

Other identifiers 1

IdentifierTypeStateIssuer
0008420220001MedicaidPA

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
I20101019001134 PA Practitioner - Nephrology 7113980244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teredesai McCann and Associates PCGroup PAC ID 4183601982, 13 clinicians

Practice addresses (Care Compare)

1597 Washington Pike
A14
Bridgeville, PA 15017-2894
Phone (412) 276-9030

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017691EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teredesai McCann & Associates PC Nephrology CurrentSince Dec 4, 1978 Accepting new patients
Teredesai McCann & Associates PC Current Accepting new patients
Montefiore Medical Center Nephrology Past Accepting new patients

Locations

2242 Darlington Rd
Ste B
Beaver Falls, PA 15010
Phone (724) 384-8392

2242 Darlington Rd
Beaver Falls, PA 15010
Phone (724) 843-9150

1597 Washington Pike
Ste A14
Bridgeville, PA 15017
Phone (412) 276-9030

1597 Washington Pike
Ste A22
Bridgeville, PA 15017
Phone (412) 489-6919

90 W Chestnut St
Ste 125LL
Washington, PA 15301
Phone (412) 492-4376

Interoperability endpoints

  • Direct secure messaging: pteredesai@tma.medentdirect.com

Organizations & group practices 3

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 4

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1528044740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 DARLINGTON RD",
            "address_2": "UNIT B",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101329",
            "telephone_number": "724-384-8392",
            "fax_number": "724-384-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "address_2": "SUITE A-22",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172894",
            "telephone_number": "412-489-6919",
            "fax_number": "412-489-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEREDESAI",
        "first_name": "PRADIP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD017691E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008420220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.