Individual provider Active NPI

Deklerk Ngankam, MD

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1639799083
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.151917 Issued in OH
Practice address
1400 Locust St Ste 11516
Pittsburgh, PA 15219-5114
Phone
(412) 232-8949
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 35.151917 OH Primary

Addresses

Primary practice location

1400 Locust St Ste 11516
Pittsburgh, PA 15219-5114

Mailing address

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410

Other identifiers 1

IdentifierTypeStateIssuer
MT219877OtherPASTATE BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241009002738 OH Practitioner - Physical Medicine and Rehabilitation 7012306020 Reassigns benefits to 1 organization
I20250807002421 NY Practitioner - Physical Medicine and Rehabilitation 7012306020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-3271

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151917OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
University of Rochester CurrentSince Aug 1, 2025 Accepting new patients
Post-Acute Physicians of Ohio PLLC Physical Medicine & Rehabilitation CurrentSince Sep 23, 2024 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Aug 1, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester Physical Medicine and Rehabilitation Physical Medicine & Rehabilitation CurrentSince Aug 1, 2025 Accepting new patients
University of Rochester Past Accepting new patients

Locations

2400 S Clinton Ave
Bldg H
Rochester, NY 14618
Phone (585) 276-5205

5901 Lac de Ville Blvd
#250
Rochester, NY 14618
Phone (585) 275-3271

2400 S Clinton Ave
Ste H150
Rochester, NY 14618

601 Elmwood Ave
#664
Rochester, NY 14642
Phone (585) 275-3271

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

33355 Health Campus Blvd
Avon, OH 44011
Phone (330) 670-0460

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

1605 NW Professional Plz
Upper Arlington, OH 43220
Phone (614) 451-4577

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

Interoperability endpoints

  • Direct secure messaging: dngankam280071@direct.metrohealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1639799083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST STE 11516",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGANKAM",
        "first_name": "DEKLERK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.151917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF MEDICINE",
            "identifier": "MT219877",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.