Active NPI
Juan C. Arevalo, M.D.
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1689636672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD428052
- Practice address
- 4630 Browns Hill Road
Pittsburgh, PA 15217 - Phone
- (412) 421-1000
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD428052 | PA | Primary |
Addresses
Primary practice location
4630 Browns Hill Road
Pittsburgh, PA 15217
Mailing address
4630 Browns Hill Road
Pittsburgh, PA 15217
Phone (412) 421-1000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1836331 | Other | PA | HIGHMARK BLUE SHIELD |
| P00320710 | Other | PA | PALMETTO GBA-RAILROAD MC |
| 251754199019 | Other | PA | MEDICAL MUTUAL OF OHIO |
| 4235190002 | Other | PA | NATIONAL SUPPLIERS CLEARINGHOUSE |
| 1015523420001 | Medicaid | PA | |
| 1782605 | Other | PA | CIGNA |
| 84502 | Other | PA | HEALTH AMERICA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4630 Browns Hill Rd
Pittsburgh, PA 15217-2919
Phone (412) 421-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Pittsburgh, PA
- NPI 1538553037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1689636672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 BROWNS HILL ROAD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15217",
"telephone_number": "412-421-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 BROWNS HILL ROAD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15217",
"telephone_number": "412-421-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREVALO",
"first_name": "JUAN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD428052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1836331",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD MC",
"identifier": "P00320710",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "251754199019",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL SUPPLIERS CLEARINGHOUSE",
"identifier": "4235190002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015523420001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1782605",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "84502",
"state": "PA"
}
],
"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 Mar 19, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.