Individual provider Active NPI

Elisa Thelys Bushman, M.D.

  • Maternal & Fetal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1629334982
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD473449 Issued in PA
Practice address
4815 Liberty Ave Ste GR59
Pittsburgh, PA 15224-2156
Phone
(412) 578-3951
Fax
(412) 578-1587
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 9139074-1205 UT
Maternal & Fetal Medicine Physician 207VM0101X MD473449 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste GR59
Pittsburgh, PA 15224-2156

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1034 N 500 W
Provo, UT 84604-3380
Phone (801) 357-7706

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

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
I20210805000015 PA Practitioner - Obstetrics/Gynecology 6305097684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

122 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 578-3951

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9139074-1205UTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 1, 2021 Accepting new patients
South Hills Radiology Associates CurrentSince Jul 1, 2022 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Aug 4, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
St Clair Professional Services Inc CurrentSince Oct 1, 2025 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2021 Accepting new patients
St Clair Professional Services Inc CurrentSince Oct 1, 2025 Accepting new patients
West Penn Allegheny Health System Inc Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2000 Oxford Dr
Ste 301
Bethel Park, PA 15102
Phone (412) 942-7850

2000 Oxford Dr
Ste 110
Bethel Park, PA 15102
Phone (412) 261-2020

2000 Oxford Dr
Bethel Park, PA 15102
Phone (412) 344-6600

2315 Myrtle St
Ste G30
Erie, PA 16502
Phone (814) 452-5504

2315 Myrtle St
Ste 290
Erie, PA 16502
Phone (814) 454-1142

6321 State Route 30
Greensburg, PA 15601
Phone (412) 858-7088

575 Coal Valley Rd
Ste 301
Jefferson Hills, PA 15025
Phone (412) 359-6444

122 Gallery Dr
Mc Murray, PA 15317
Phone (412) 283-0110

3928 Washington Rd
McMurray, PA 15317
Phone (412) 347-0057

4262 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-6020

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

363 Vanadium Rd
Ste 201
Pittsburgh, PA 15243
Phone (412) 279-9900

4815 Liberty Ave
Ste GR59
Pittsburgh, PA 15224
Phone (412) 578-1425

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4815 Liberty Ave
Ste GR50
Pittsburgh, PA 15224
Phone (412) 578-1212

12311 Perry Hwy
Fl 3
Wexford, PA 15090
Phone (878) 332-4149

Interoperability endpoints

  • Direct secure messaging: ebushman415699@direct.ahn.org

Organizations & group practices 9

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1629334982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE GR59",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-3951",
            "fax_number": "412-578-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 N 500 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043380",
            "country_code": "US",
            "telephone_number": "801-357-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "ELISA",
        "middle_name": "THELYS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "UT",
            "license": "9139074-1205",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD473449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.