Active NPI
Mirna Abdallah, MD
- Anesthesiology Physician
- Pittsburgh, PA
National Provider Identifier
1730398678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD437992
- Practice address
- 1501 Reedsdale St
Ste 4004 Western PA Anesthesia Associates
Pittsburgh, PA 15233 - Phone
- (412) 363-5570
- NPI assigned
- May 21, 2007
- Last updated
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 002822 | NY | |
| Anesthesiology Physician | 207L00000X | MD437992 | PA | Primary |
Addresses
Primary practice location
1501 Reedsdale St
Ste 4004 Western PA Anesthesia Associates
Pittsburgh, PA 15233
Mailing address
1501 Reedsdale St
Ste 4004 Western PA Anesthesia Associates
Pittsburgh, PA 15233
Phone (315) 464-4720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002822 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Medical Anesthesiology Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mabdallah@direct.excelahealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1730398678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 REEDSDALE ST",
"address_2": "STE 4004 WESTERN PA ANESTHESIA ASSOCIATES",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15233",
"telephone_number": "315-464-4720",
"fax_number": "315-464-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 REEDSDALE ST",
"address_2": "STE 4004 WESTERN PA ANESTHESIA ASSOCIATES",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15233",
"telephone_number": "412-363-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDALLAH",
"first_name": "MIRNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "002822",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD437992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.