Tiberiu F Bodeacrisan, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD420275 Issued in PA

Practice address

3811 Ohara St
Suite 1135-E
Pittsburgh, PA 15213-2593

Phone

(412) 624-1000

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1215995402

  Child & Adolescent Psychiatry

  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• Wpic Physician Practice Corp Inc

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1356319313
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1699747758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "address_2": "SUITE 1135-E",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593",
            "telephone_number": "412-624-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "address_2": "SUITE 1135-E",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593",
            "telephone_number": "412-624-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEACRISAN",
        "first_name": "TIBERIU",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD420275",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD420275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101055820",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Anne Bock, M.D.
• Daniel M Boda, CRNA
• Katrina Bodani, CRNP
• Pooja Shivani Boddapati, M.D M.B.B.S
• Stephen Douglas Bode, PT
• Dana Gardenhour Bodek, MS, CNS, LDN
• Debra E. Bodell
• Heather Lynn Boden, CRNA
• Susanne Helene Boden, M.D.
• Ashley Bodenmiller, D.C.

• Child & Adolescent Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.