Individual provider Active NPI

Donald B Middleton, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1609815299
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD020718E Issued in PA
Practice address
3937 Butler St
Pittsburgh, PA 15201-3222
Phone
(412) 622-7343
Fax
(412) 621-8235
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD020718E PA
Internal Medicine Physician 207R00000X MD020718E PA Primary

Addresses

Primary practice location

3937 Butler St
Pittsburgh, PA 15201-3222

Mailing address

139 1St St
Oakmont, PA 15139-2156
Phone (412) 596-0944

Other identifiers 2

IdentifierTypeStateIssuer
0006328020007MedicaidPA
022093OtherPAHIGHMARK

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
I20040309000523 PA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6305734567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1072 5TH Ave
New Kensington, PA 15068-6234
Phone (724) 334-3640

3937 Butler St
Pittsburgh, PA 15201-3222
Phone (412) 622-7343

5475 Penn Ave
Pittsburgh, PA 15206-3453
Phone (412) 361-7562

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD020718EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Family Practice-Upmc,Inc CurrentSince Feb 11, 2019 Accepting new patients
Renaissance Family Practice-Upmc, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Nov 23, 2013 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Nov 23, 2013 Accepting new patients
Upmc St. Margaret Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

301 11th St
New Kensington, PA 15068
Phone (724) 334-3640

301 11th St
Ste C
New Kensington, PA 15068
Phone (724) 334-3640

103 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 781-1917

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

Interoperability endpoints

  • Direct secure messaging: donald.b.middleton@upmcdirect.com

Organizations & group practices 7

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1609815299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 1ST ST",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392156",
            "telephone_number": "412-596-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 BUTLER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013222",
            "telephone_number": "412-622-7343",
            "fax_number": "412-621-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "DONALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD020718E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD020718E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006328020007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "022093",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.