Individual provider Active NPI

Sara C McIntire, MD

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1548234396
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD041778L Issued in PA
Practice address
4401 Penn Avenue
Faculty Office Pavilion, 3Rd Floor, Pediatric Hospital
Pittsburgh, PA 15224-2524
Phone
(412) 692-5135
Fax
(412) 692-7038
NPI assigned
Feb 16, 2006
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD041778L PA
Pediatrics Physician 208000000X MD041778 PA
Pediatrics Physician 208000000X MD041778L PA Primary

Addresses

Primary practice location

4401 Penn Avenue
Faculty Office Pavilion, 3Rd Floor, Pediatric Hospital
Pittsburgh, PA 15224-2524

Mailing address

4401 Penn Avenue
Faculty Office Pavilion, 3Rd Floor, Pediatric Hospital
Pittsburgh, PA 15224-2524
Phone (412) 692-5135

Other practice location 1

3705 5th Ave
Room 4B480
Pittsburgh, PA 15213-2524
Phone (412) 692-5135

Other identifiers 1

IdentifierTypeStateIssuer
001945534MedicaidPA

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
I20080813000852 PA Practitioner - Pediatric Medicine 1951476704 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041778PAMDPediatrics Physician
MD041778LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 5, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Jan 5, 2010 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

4401 Penn Ave
Ofc
Pittsburgh, PA 15224
Phone (412) 692-5135

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

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, 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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1548234396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PENN AVENUE",
            "address_2": "FACULTY OFFICE PAVILION, 3RD FLOOR, PEDIATRIC HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242524",
            "telephone_number": "412-692-5135",
            "fax_number": "412-692-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVENUE",
            "address_2": "FACULTY OFFICE PAVILION, 3RD FLOOR, PEDIATRIC HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242524",
            "telephone_number": "412-692-5135",
            "fax_number": "412-692-7038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 5th Ave",
            "address_2": "Room 4B480",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132524",
            "country_code": "US",
            "telephone_number": "412-692-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "SARA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD041778L",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD041778",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD041778L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001945534",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.