Active NPI
Dean N Pollack, M.D.
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
National Provider Identifier
1629030366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD 036170-E
- Practice address
- 5200 Centre Ave
Suite 316
Pittsburgh, PA 15232-1300 - Phone
- (412) 621-1660
- Fax
- (412) 621-2942
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD 036170-E | PA | Primary |
Addresses
Primary practice location
5200 Centre Ave
Suite 316
Pittsburgh, PA 15232-1300
Mailing address
5200 Centre Ave
Suite 316
Pittsburgh, PA 15232-1300
Phone (412) 621-1660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010593990002 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110520000480 | PA | Practitioner - Obstetrics/Gynecology | 6507042850 | Practice locations: Pittsburgh, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 036170-E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | 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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1629030366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 CENTRE AVE",
"address_2": "SUITE 316",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321300",
"telephone_number": "412-621-1660",
"fax_number": "412-621-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 CENTRE AVE",
"address_2": "SUITE 316",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321300",
"telephone_number": "412-621-1660",
"fax_number": "412-621-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "DEAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD 036170-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010593990002",
"state": "PA"
}
],
"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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.