Individual provider Active NPI

Monica Bader

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1699239079
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA005585 Issued in PA
Practice address
5700 Corporate Dr Ste 265
Pittsburgh, PA 15237-5861
Phone
(412) 369-5900
Fax
(412) 369-5905
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA005585 PA Primary
Medical Physician Assistant 363AM0700X PA12590 TX
Medical Physician Assistant 363AM0700X MA062282 PA

Addresses

Primary practice location

5700 Corporate Dr Ste 265
Pittsburgh, PA 15237-5861

Mailing address

5700 Corporate Dr Ste 265
Pittsburgh, PA 15237-5861
Phone (412) 369-5900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729001199 PA Practitioner - Physician Assistant 9436552379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA062282PAMDMedical Physician Assistant
PA12590TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Associates of Western Pennsylvania P C Medical PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1699239079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CORPORATE DR STE 265",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375861",
            "telephone_number": "412-369-5900",
            "fax_number": "412-369-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CORPORATE DR STE 265",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375861",
            "telephone_number": "412-369-5900",
            "fax_number": "412-369-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005585",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12590",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.