NPIMap

Individual provider Active NPI

Daniel Anthony Shade Jr., MD

  • Pulmonary Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1699738211
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD054477L Issued in PA
Practice address
490 E North Ave
Suite 309
Pittsburgh, PA 15212-4740
Phone
(412) 442-2522
Fax
(412) 442-2524
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD054477L PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD054477L PA
Pulmonary Disease Physician 207RP1001X MD054477L PA Primary

Addresses

Primary practice location

490 E North Ave
Suite 309
Pittsburgh, PA 15212-4740

Mailing address

490 E North Ave
Suite 309
Pittsburgh, PA 15212-4740
Phone (412) 442-2522

Other identifiers 3

IdentifierTypeStateIssuer
2181731MedicaidOH
6000337000MedicaidWV
0016776580004MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshade6335@direct.ahn.org

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
I20060127000086 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 1557375722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

490 E N Ave
Suite 300
Pittsburgh, PA 15212-4771
Phone (412) 322-7202

Hospital & facility affiliations

  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054477LPAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2011 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2011 Accepting new patients
Integrated Pulmonary Physicians LTD Pulmonary Disease Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
DLS Holdings LLC Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

490 E North Ave
Ste 106
Pittsburgh, PA 15212
Phone (412) 321-6727

490 E North Ave
Ste 309
Pittsburgh, PA 15212
Phone (412) 359-3816

490 E North Ave
Ste 300
Pittsburgh, PA 15212
Phone (412) 321-3344

490 E North Ave
Ste 210
Pittsburgh, PA 15212
Phone (412) 322-6060

Interoperability endpoints

  • Direct secure messaging: dshade6335@direct.ahn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1699738211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 309",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-442-2522",
            "fax_number": "412-442-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 309",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124740",
            "telephone_number": "412-442-2522",
            "fax_number": "412-442-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD054477L",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD054477L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD054477L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181731",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000337000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016776580004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshade6335@direct.ahn.org",
            "affiliation": "N",
            "address_1": "490 E North Ave",
            "address_2": "Suite 309",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.