Organization Active NPI

Pittsburgh Pain Physicians

  • Interventional Pain Medicine Physician
  • Cranberry TWP, PA
National Provider Identifier
1760725246
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PITTSBURGH PAIN PHYSICIANS
Practice address
125 Emeryville Dr Ste 240
Cranberry TWP, PA 16066-5020
Phone
(412) 533-2202
Fax
(412) 774-2929
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Authorized official

Name
Ankur Gosalia, MDNPI 1306935036
Title
President
Phone
(412) 680-0526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

125 Emeryville Dr Ste 240
Cranberry TWP, PA 16066-5020

Mailing address

125 Emeryville Dr Ste 240
Cranberry TWP, PA 16066-5020
Phone (412) 533-2202

Other identifiers 1

IdentifierTypeStateIssuer
1028381750001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130715000011 PA Part B Supplier - Clinic/Group Practice 8628218708 Receives reassigned benefits from 2 practitioners
Practice locations: Beaver, PA; Cranberry TWP, PA; Ellwood City, PA; McKees Rocks, PA; Monaca, PA; Pittsburgh, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

125 Emeryville Dr
Ste 240
Cranberry Twp, PA 16066
Phone (412) 533-2202

304 Evans Dr
Ste 101
Ellwood City, PA 16117
Phone (412) 533-2202

79 Wagner Rd
Ste 101
Monaca, PA 15061
Phone (412) 533-2202

107 Gamma Dr
Ste 200
Pittsburgh, PA 15238
Phone (412) 827-0033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1760725246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 240",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "412-533-2202",
            "fax_number": "412-774-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 240",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "412-533-2202",
            "fax_number": "412-774-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH PAIN PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "GOSALIA",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-680-0526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028381750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.