Individual provider Active NPI

Anna Marie Boettcher, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1720058761
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 063328L Issued in PA
Practice address
412 E Commons
Pittsburgh, PA 15212-5310
Phone
(412) 323-4519
Fax
(412) 323-4507
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27128 SC
Psychiatry Physician 2084P0800X MD 063328L PA Primary

Addresses

Primary practice location

412 E Commons
Pittsburgh, PA 15212-5310

Mailing address

1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone (412) 323-4519

Other identifiers 2

IdentifierTypeStateIssuer
01770984MedicaidPA
031647KJ7OtherPAPIN

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
I20040329000981 PA Practitioner - PsychiatryPractitioner - Addiction Medicine 9234021643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

437 Railroad St
Bridgeville, PA 15017-2329
Phone (412) 221-3302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 063328LPAMDPsychiatry Physician
27128SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 19, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 13, 2018 Accepting new patients
University of Pittsburgh Physicians Psychiatry CurrentSince Feb 13, 2018 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Chartiers Community Mental Health & Retardation Center, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Chartiers Community Mental Health and Retardation Center, Inc CurrentSince Aug 3, 2020 Accepting new patients

Locations

1300 Oxford Dr
Ste 1A
Bethel Park, PA 15102
Phone (412) 687-5040

437 Railroad St
Bridgeville, PA 15017
Phone (412) 221-3302

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

90 W Chestnut St
Ste 250
Washington, PA 15301
Phone (412) 221-3302

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

11279 Perry Hwy
Ste 450
Wexford, PA 15090

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1720058761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-323-4519",
            "fax_number": "412-323-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E COMMONS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125310",
            "telephone_number": "412-323-4519",
            "fax_number": "412-323-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "27128",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 063328L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01770984",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "031647KJ7",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.