NPIMap

Individual provider Active NPI

Amanda Hercules Smith, MD

  • Internal Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1669787727
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440368 Issued in PA
Practice address
5187 Library Rd
Bethel Park, PA 15102-2772
Phone
(412) 835-4886
NPI assigned
Aug 13, 2010
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD440368 PA Primary

Addresses

Primary practice location

5187 Library Rd
Bethel Park, PA 15102-2772

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 924-2548

Other practice location 1

1025 Washington Pike Ste 3
Bridgeville, PA 15017-2702
Phone (412) 221-3377

Other identifiers 1

IdentifierTypeStateIssuer
102519128MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000601 PA Practitioner - Internal MedicinePractitioner - Hospitalist 0840486429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

733 Washington Rd
401 Fatigati Nalin Assoc
Pittsburgh, PA 15228-2022
Phone (412) 343-1770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD440368PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services Inc. Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
St Clair Medical Services Inc CurrentSince Apr 1, 2018 Accepting new patients
St Clair Memorial Hospital Past Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

350 Broughton Rd
Bethel Park, PA 15102
Phone (412) 835-4886

5187 Library Rd
Bethel Park, PA 15102
Phone (412) 835-4886

1025 Washington Pike
Ste 3
Bridgeville, PA 15017
Phone (412) 221-3377

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

733 Washington Rd
Ste 401
Pittsburgh, PA 15228
Phone (412) 343-1770

Interoperability endpoints

  • Direct secure messaging: amandaherculessmith@sch.allscriptsdirect.net
  • Direct secure messaging: pamalyn.patnesky@stclair.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1669787727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-924-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5187 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022772",
            "telephone_number": "412-835-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Washington Pike Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "150172702",
            "country_code": "US",
            "telephone_number": "412-221-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERCULES SMITH",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102519128",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "5187 Library Rd",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151022772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1025 Washington Pike Ste 3",
            "city": "Bridgeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150172702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.