Individual provider Active NPI

Brendan D Lamperski, MD

  • Internal Medicine Physician
  • Allison Park, PA
National Provider Identifier
1720061401
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045145-L Issued in PA
Practice address
4068 Mount Royal Blvd
Suite 101
Allison Park, PA 15101-2977
Phone
(412) 486-3076
Fax
(412) 492-0884
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD045145-L PA Primary

Addresses

Primary practice location

4068 Mount Royal Blvd
Suite 101
Allison Park, PA 15101-2977

Mailing address

4068 Mount Royal Blvd
Suite 101
Allison Park, PA 15101-2977
Phone (412) 486-3076

Other identifiers 3

IdentifierTypeStateIssuer
0012768550003MedicaidPA
1600497OtherPAHIGHMARK PROVIDER NUMBER
20-0865983OtherPATAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lamperski.Brendan.002.0380053@LIML.meditab.direct-ci.com Health Information Exchange (HIE)

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
I20040506001481 PA Practitioner - Internal Medicine 0345239232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamperski Internal Medicine LLCGroup PAC ID 8022089150, 3 clinicians

Practice addresses (Care Compare)

4068 Mount Royal Blvd
Suite 101
Allison Park, PA 15101-2951
Phone (412) 486-3076

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045145-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lamperski Internal Medicine, LLC Internal Medicine CurrentSince Jun 28, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4068 Mount Royal Blvd
Allison Park, PA 15101
Phone (412) 486-3076

4068 Mount Royal Blvd
Ste 101
Allison Park, PA 15101
Phone (412) 486-3076

Interoperability endpoints

  • Direct secure messaging: lamperski.brendan.002.0380053@liml.meditab.direct-ci.com

Organizations & group practices 2

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1720061401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 MOUNT ROYAL BLVD",
            "address_2": "SUITE 101",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012977",
            "telephone_number": "412-486-3076",
            "fax_number": "412-492-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 MOUNT ROYAL BLVD",
            "address_2": "SUITE 101",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012977",
            "telephone_number": "412-486-3076",
            "fax_number": "412-492-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPERSKI",
        "first_name": "BRENDAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD045145-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012768550003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "1600497",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-0865983",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lamperski.Brendan.002.0380053@LIML.meditab.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4068 Mount Royal Blvd",
            "address_2": "Suite 101",
            "city": "Allison Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151012977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.