Individual provider Active NPI

Marc Jeffrey Adelsheimer, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1528066180
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD059198L Issued in PA
Practice address
107 Gamma Dr
Suite 200
Pittsburgh, PA 15238-2917
Phone
(412) 963-6480
Fax
(412) 963-6820
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD059198L PA Primary

Addresses

Primary practice location

107 Gamma Dr
Suite 200
Pittsburgh, PA 15238-2917

Mailing address

5444 Albemarle Ave
Pittsburgh, PA 15217-1133
Phone (412) 681-1638

Other identifiers 1

IdentifierTypeStateIssuer
001594377 0010MedicaidPA

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
I20041013000107 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0345209920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Pain SpecialistsGroup PAC ID 7810956497, 3 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

107 Gamma Dr
Suite 220
Pittsburgh, PA 15238-2917
Phone (412) 963-6480

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059198LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Pain Specialists CurrentSince Sep 1, 2004 Accepting new patients
Physical Medicine & Rehabilitation Experts Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

107 Gamma Dr
Ste 220
Pittsburgh, PA 15238
Phone (412) 681-1638

580 S Aiken Ave
Ste 100
Pittsburgh, PA 15232
Phone (412) 623-1061

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1528066180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 ALBEMARLE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171133",
            "telephone_number": "412-681-1638",
            "fax_number": "412-683-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-963-6480",
            "fax_number": "412-963-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSHEIMER",
        "first_name": "MARC",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD059198L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001594377 0010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.