Organization Active NPI

Private Physicians Medical Practice, LLC

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1619489283
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006326L Issued in PA
Legal business name
PRIVATE PHYSICIANS MEDICAL PRACTICE, LLC
Practice address
5700 Corporate Dr Ste 265
Pittsburgh, PA 15237-5861
Phone
(412) 369-5900
Fax
(412) 369-5905
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Scott Leone, DONPI 1073613907
Title
Owner
Phone
(412) 369-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS006326L PA Primary

Addresses

Primary practice location

5700 Corporate Dr Ste 265
Pittsburgh, PA 15237-5861

Mailing address

10675 Perry Hwy Unit 243
Wexford, PA 15090-1129
Phone (412) 369-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180110000413 PA Part B Supplier - Clinic/Group Practice 7113286592 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburgh, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0685484Private Physicians Medical Practice5700 Corporate Drive, Pittsburgh, PA 15237Provider-performed microscopyFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

10675 Perry Hwy
Unit 243
Wexford, PA 15090

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1619489283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10675 PERRY HWY UNIT 243",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901129",
            "telephone_number": "412-369-5900",
            "fax_number": "412-369-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CORPORATE DR STE 265",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375861",
            "telephone_number": "412-369-5900",
            "fax_number": "412-369-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE PHYSICIANS MEDICAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-369-5900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006326L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.