NPIMap

Organization Active NPI

Metro Family Practice, Inc.

Doing business as Metro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
National Provider Identifier
1740283845
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
100728002 Issued in PA
Legal business name
METRO FAMILY PRACTICE, INC.
Doing business as
Metro Community Health Center
Practice address
1789 S Braddock Ave
Suite 410
Pittsburgh, PA 15218-1842
Phone
(412) 247-2310
Fax
(412) 247-4060
NPI assigned
May 23, 2005
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Ms. Marlene Hughes
Title
Chief Executive Officer
Phone
(412) 247-2310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 100728002 PA Primary

Addresses

Primary practice location

1789 S Braddock Ave
Suite 410
Pittsburgh, PA 15218-1842

Mailing address

1789 S Braddock Ave
Suite 410
Pittsburgh, PA 15218-1842
Phone (412) 247-2310

Other identifiers 2

IdentifierTypeStateIssuer
725502OtherPAHIGHMARK BLUES
1007280020006MedicaidPA

Other names 1

  • Metro Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050412001070 PA Part B Supplier - Clinic/Group Practice 9032027727 Receives reassigned benefits from 31 practitioners
Practice locations: Pittsburg, PA; Pittsburgh, PA
O20100901000142 PA Part A Provider - Federally Qualified Health Center (FQHC) 9032027727 Practice locations: Pittsburgh, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740283845. Details of each certification follow.

Federally qualified health center certification: CCN 391925

Legal name
METRO FAMILY PRACTICE, INC.
Doing business as
METRO COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 23, 2003
Last certification
May 23, 2003
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 2, 1999 in PA
Enrollment address
1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218-1881

National Provider Directory

National Provider Directory
Tax ID family
Metro Community Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218
Phone (412) 247-2310

901 West St
#B
Pittsburgh, PA 15221
Phone (412) 247-2310

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elaine Kulman Individual Corporate Officer Nov 1, 2021
W-2 Managing Employee Dec 6, 2021
Ann Williamson Individual Corporate DirectorBoard Member Aug 1, 2020
Andrew Beyer Individual Corporate DirectorBoard Member Jul 1, 2019
Michael Parker Individual Corporate Officer Sep 1, 2022

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1740283845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE",
            "address_2": "SUITE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181842",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE",
            "address_2": "SUITE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181842",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "412-247-2310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": "100728002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUES",
            "identifier": "725502",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007280020006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.