Active NPI
Jeffrey A Fulton, DO
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- OS007677L
- Practice address
- 320 E North Ave
Pittsburgh, PA 15212-4756 - Phone
- (412) 359-6656
- Fax
- (412) 359-6653
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 34.009093 | OH | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | OS007677L | PA | Primary |
| Surgery Physician | 208600000X | OS007677L | PA |
Addresses
Primary practice location
320 E North Ave
Pittsburgh, PA 15212-4756
Mailing address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6656
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10927102 | Other | CAQH | |
| 001809908 | Medicaid | PA | |
| 2754649 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfulton230740@direct.ahn.org |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009093 | OH | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| OS007677L | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic Pediatrics | Past | Accepting new patients | |
| Integrated Pulmonary Physicians LTD | Past | Accepting new patients | |
| Main Line Healthcare | Surgery | Past | Accepting new patients |
Locations
575 Coal Valley Rd
Ste 575
Jefferson Hls, PA 15025
Phone (412) 267-6260
2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
490 E North Ave
Ste 309
Pittsburgh, PA 15212
Phone (412) 359-3816
490 E North Ave
Ste 305
Pittsburgh, PA 15212
Phone (412) 231-1110
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Critical Care Medicine (Internal Medicine) Physician
- Pittsburgh, PA
- NPI 1063650919
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Pediatrics Physician
- Carnegie, PA
- NPI 1326436619
-
- Pulmonary Disease Physician
- Pittsburgh, PA
- NPI 1144278730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1659384352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E NORTH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-6656",
"fax_number": "412-359-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E NORTH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-6656",
"fax_number": "412-359-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "34.009093",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "OS007677L",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OS007677L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10927102",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001809908",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2754649",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfulton230740@direct.ahn.org",
"affiliation": "N",
"address_1": "320 E North Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124756",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 15, 2023; 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.
- 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.