Individual provider Active NPI

Dalal Mazraeh, M.D

  • Internal Medicine Physician
  • McKeesport, PA
National Provider Identifier
1588015564
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
277687 Issued in MA
Practice address
1500 5TH Ave
1St Floor Kelly Building
McKeesport, PA 15132-2422
Phone
(412) 664-2782
Fax
(412) 664-2784
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 277687 MA Primary

Addresses

Primary practice location

1500 5TH Ave
1St Floor Kelly Building
McKeesport, PA 15132-2422

Mailing address

1500 5TH Ave
1St Floor Kelly Building
McKeesport, PA 15132-2422
Phone (412) 664-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Organizations & group practices 1

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1588015564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 5TH AVE",
            "address_2": "1ST FLOOR KELLY BUILDING",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-664-2782",
            "fax_number": "412-664-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 5TH AVE",
            "address_2": "1ST FLOOR KELLY BUILDING",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-664-2782",
            "fax_number": "412-664-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZRAEH",
        "first_name": "DALAL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "277687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.