Individual provider Active NPI

Glen J Ha, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1649248659
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD421754 Issued in PA
Practice address
200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546
Phone
(412) 647-3553
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD421754 PA Primary

Addresses

Primary practice location

200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546

Mailing address

200 Lothrop Street
Room 3950 CHP CMT
Pittsburgh, PA 15213
Phone (412) 647-3553

Other identifiers 1

IdentifierTypeStateIssuer
101173171MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031211000837 PA Practitioner - Diagnostic Radiology 7012813751 Reassigns benefits to 4 organizations
I20260216003205 WV Practitioner - Diagnostic Radiology 7012813751 Reassigns benefits to 1 organization
I20260318004105 OH Practitioner - Diagnostic Radiology 7012813751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Hospital Upmc Cancer Center PetctGroup PAC ID 3971535790, 6 clinicians
St Clair Professional Services IncGroup PAC ID 4284672742, 77 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, shared by 2 NPIs, 309 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-7075

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Jul 1, 2017 Accepting new patients
St Clair Professional Services Inc Current Accepting new patients
South Hills Radiology Associates CurrentSince Jun 1, 2017 Accepting new patients
Fayette Physician Network Inc CurrentSince Dec 2, 2025 Accepting new patients
St Clair Professional Services Inc CurrentSince Oct 1, 2025 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Fayette Physician Network Inc CurrentSince Dec 2, 2025 Accepting new patients
St Clair Hospital Upmc Cancer Center Petct CurrentSince Jul 1, 2017 Accepting new patients
St Clair Professional Services Inc CurrentSince Oct 1, 2025 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Jul 1, 2017 Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

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

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

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

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 9

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1649248659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP STREET",
            "address_2": "ROOM 3950 CHP CMT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "ROOM 3950 CHP CMT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132546",
            "telephone_number": "412-647-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "GLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD421754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101173171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.