NPIMap

Organization Active NPI

St Clair Hospital Upmc Cancer Center Petct

  • Radiology Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1699708792
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ST CLAIR HOSPITAL UPMC CANCER CENTER PETCT
Practice address
1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone
(412) 942-7075
Fax
(412) 942-3379
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

Mailing address

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-7075

Other identifiers 1

IdentifierTypeStateIssuer
1014699520001MedicaidPA

Other names 1

  • Integrated PET CT Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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
O20050901000162 PA Part B Supplier - Clinic/Group Practice 3971535790 Receives reassigned benefits from 14 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1000 Bower Hill Rd
Fl 4
Pittsburgh, PA 15243

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1699708792",
    "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": "412-942-7075",
            "fax_number": "412-942-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-7075",
            "fax_number": "412-942-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR HOSPITAL UPMC CANCER CENTER PETCT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014699520001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "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": "1000 Bower Hill Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrated PET CT Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2023; 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.