Individual provider Active NPI

Joan Michele Mavrinac, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1710975461
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD036140E Issued in PA
Practice address
4800 Friendship Ave
Emerg Med Western Penna Hospital
Pittsburgh, PA 15224-1722
Phone
(412) 578-5442
Fax
(412) 578-1144
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD036140E PA Primary

Addresses

Primary practice location

4800 Friendship Ave
Emerg Med Western Penna Hospital
Pittsburgh, PA 15224-1722

Mailing address

4800 Friendship Ave
Emerg Med Western Penna Hospital
Pittsburgh, PA 15224-1722
Phone (412) 578-5442

Other identifiers 3

IdentifierTypeStateIssuer
0011874050003MedicaidPA
3810008858MedicaidWV
2747139MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000799 PA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7517000250 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 Accepting new patients
Emergency Medicine Association of Pittsburgh Emergency Medicine Past Accepting new patients
West Penn Allegheny Health System, Inc. Past Accepting new patients

Locations

1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911

1400 Locust St
Ste 375
Pittsburgh, PA 15219
Phone (412) 922-4663

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: joan.mavrinac@upmcdirect.com

Organizations & group practices 5

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1710975461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "address_2": "EMERG MED WESTERN PENNA HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5442",
            "fax_number": "412-578-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "address_2": "EMERG MED WESTERN PENNA HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5442",
            "fax_number": "412-578-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVRINAC",
        "first_name": "JOAN",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD036140E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011874050003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008858",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2747139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.