Vitasta Bazaz, MD MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD035564-L Issued in PA

Practice address

2100 Jane St
Ste 210
Pittsburgh, PA 15203-2065

Phone

(412) 488-1880

Fax

(412) 488-8216

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vitasta Sengal Bazaz Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669453965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 JANE ST",
            "address_2": "STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032065",
            "telephone_number": "412-488-1880",
            "fax_number": "412-488-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 JANE ST",
            "address_2": "STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032065",
            "telephone_number": "412-488-1880",
            "fax_number": "412-488-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAZ",
        "first_name": "VITASTA",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD035564-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848204",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VITASTA",
            "last_name": "BAZAZ",
            "middle_name": "SENGAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Wilson Bayley, NCC, MA, LPC
• Erin Marie Bayley, M.D.
• James Cushing Bayley Jr., MD
• Yusuf Baytar, MD
• Linda C Bazan, PHD
• Elizabeth Marie Bazelak, PA-C
• Fayrouz S Bazina, DDS, MS, PHD
• David M Bazzoli Jr.
• Be More Counseling
• Michael D. Beach, CRNP

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.