NPIMap

Organization Active NPI

St Clair Medical Services, Inc.

Doing business as St. Clair Medical Group Colorectal Surgery

  • Colon & Rectal Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1669754099
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
ST CLAIR MEDICAL SERVICES, INC.
Doing business as
St. Clair Medical Group Colorectal Surgery
Practice address
1050 Bower Hill Rd Ste 208
Pittsburgh, PA 15243-1868
Phone
(412) 572-6192
Fax
(412) 572-6193
NPI assigned
Sep 12, 2011
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CLAIR HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Eric Luttringer
Title
SVP/ Cfo
Phone
(412) 942-1202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

1050 Bower Hill Rd Ste 208
Pittsburgh, PA 15243-1868

Mailing address

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other names 2

  • St. Clair Medical Group Colorectal Surgery Doing business as
  • Colorectal Surgical Associates Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions
Direct Messaging Address Credential.group@stclair.org Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000889 PA Part B Supplier - Clinic/Group Practice 4183511553 Receives reassigned benefits from 394 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA; Washington, PA; Bethel Park, PA; Bridgeville, PA; McKees Rocks, PA; McMurray, PA

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

National Provider Directory

National Provider Directory
Part of
St Clair Memorial Hosp

Locations

1050 Bower Hill Rd
Ste 208
Pittsburgh, PA 15243
Phone (412) 572-6192

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1669754099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431868",
            "telephone_number": "412-572-6192",
            "fax_number": "412-572-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CLAIR HOSPITAL",
        "enumeration_date": "2011-09-12",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "LUTTRINGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP/ CFO",
        "authorized_official_telephone_number": "412-942-1202"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Credential.group@stclair.org",
            "affiliation": "N",
            "endpointDescription": "Credential.group@stclair.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1050 Bower Hill Rd Ste 208",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Clair Medical Group Colorectal Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorectal Surgical Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 10, 2025; 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.