Individual provider Active NPI

Kathleen Sheridan, DO

  • Infectious Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1659540698
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
OS013937 Issued in PA
Practice address
9104 Babcock Blvd Ste 2116
Pittsburgh, PA 15237-5818
Phone
(412) 348-0330
Fax
(412) 348-0338
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS013937 PA
Infectious Disease Physician 207RI0200X OS013937 PA Primary

Addresses

Primary practice location

9104 Babcock Blvd Ste 2116
Pittsburgh, PA 15237-5818

Mailing address

3601 5TH Ave Ste 700
Pittsburgh, PA 15213-3403
Phone (412) 648-6801

Other practice location 1

100 Delafield Rd Ste 202
Pittsburgh, PA 15215-3247
Phone (412) 348-0330

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
I20100701000268 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0840321063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Romano, Pontzer and Associates, LimitedGroup PAC ID 6103717137, 11 clinicians

Practice addresses (Care Compare)

9104 Babcock Blvd
Suite 2116
Pittsburgh, PA 15237-5818
Phone (412) 348-0330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Romano, Pontzer & Associates, Limited Infectious Disease CurrentSince Jan 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Advanced Practice Providers Past Accepting new patients

Locations

100 Delafield Rd
Ste 202
Pittsburgh, PA 15215
Phone (412) 348-0330

9104 Babcock Blvd
Ste 2116
Pittsburgh, PA 15237
Phone (412) 348-0330

Interoperability endpoints

  • Direct secure messaging: ksheridan@direct.excelahealth.org

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1659540698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 5TH AVE STE 700",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133403",
            "telephone_number": "412-648-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD STE 2116",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-348-0330",
            "fax_number": "412-348-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Delafield Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153247",
            "country_code": "US",
            "telephone_number": "412-348-0330",
            "fax_number": "412-348-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KATHLEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013937",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "OS013937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.