Organization Active NPI

Infectious Disease Tele-Medical

  • Infectious Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1669296307
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE TELE-MEDICAL
Practice address
5800 Corporate Dr Ste 300
Pittsburgh, PA 15237-7098
Phone
(833) 271-2408
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Liyuen G. Wills
Title
Director, Credentialing Services
Phone
(724) 383-6195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

5800 Corporate Dr Ste 300
Pittsburgh, PA 15237-7098

Mailing address

5800 Corporate Dr Ste 300
Pittsburgh, PA 15237-7098
Phone (833) 271-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415003770 PA Part B Supplier - Clinic/Group Practice 9739604463 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

5800 Corporate Dr
Ste 300
Pittsburgh, PA 15237
Phone (412) 550-3709

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1669296307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "833-271-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 CORPORATE DR STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377098",
            "telephone_number": "833-271-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE TELE-MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "LIYUEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING SERVICES",
        "authorized_official_telephone_number": "724-383-6195"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.