Individual provider Active NPI

Mark S Stanish, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1689664070
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD478613 Issued in PA
Practice address
Pittsburgh Catholic Charities Free Health Care
111 Boulevard of the Allies
Pittsburgh, PA 15222
Phone
(412) 456-6999
Fax
(574) 239-1520
NPI assigned
Oct 26, 2005
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01039400A IN
Internal Medicine Physician 207R00000X 4301046691 MI
Internal Medicine Physician 207R00000X MD478613 PA Primary

Addresses

Primary practice location

Pittsburgh Catholic Charities Free Health Care
111 Boulevard of the Allies
Pittsburgh, PA 15222

Mailing address

101 Scottdale Dr
Pittsburgh, PA 15205
Phone (574) 292-1329

Other identifiers 1

IdentifierTypeStateIssuer
100092000MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039400AINMDInternal Medicine Physician
4301046691MIMDInternal Medicine Physician
MD478613PAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mark.s.stanish@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1689664070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SCOTTDALE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15205",
            "telephone_number": "574-292-1329",
            "fax_number": "574-239-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PITTSBURGH CATHOLIC CHARITIES FREE HEALTH CARE",
            "address_2": "111 BOULEVARD OF THE ALLIES",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-456-6999",
            "fax_number": "574-239-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISH",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01039400A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301046691",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD478613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092000",
            "state": "IN"
        }
    ],
    "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 Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.