Individual provider Active NPI

Ezeldeen Abuelkasem

  • Anesthesiology Physician
  • Pittsburgh, PA
National Provider Identifier
1760896054
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301501134 Issued in MI
Practice address
3471 5TH Ave Ste 910
Suite 200, Cwing
Pittsburgh, PA 15213-3221
Phone
(412) 692-4540
NPI assigned
Jun 16, 2014
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301501134 MI Primary

Addresses

Primary practice location

3471 5TH Ave Ste 910
Suite 200, Cwing
Pittsburgh, PA 15213-3221

Mailing address

3471 5TH Ave Ste 910
Suite 200, Cwing
Pittsburgh, PA 15213-3221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180703002961 PA Practitioner - Anesthesiology 0345596391 Reassigns benefits to 1 organization
I20200403002943 MI Practitioner - Anesthesiology 0345596391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

3459 5TH Ave
Pittsburgh, PA 15213-3236
Phone (412) 648-6161

5230 Centre Ave
Pittsburgh, PA 15232-1304

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501134MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jan 11, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Anesthesiology CurrentSince Jan 11, 2020 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3471 5th Ave
Ste 910
Pittsburgh, PA 15213
Phone (412) 692-4506

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Interoperability endpoints

  • Direct secure messaging: eabuelkasem20956@upmc.direct-ci.com
  • Direct secure messaging: ezeldeen.abuelkasem@upmcdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1760896054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 5TH AVE STE 910",
            "address_2": "SUITE 200, CWING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 5TH AVE STE 910",
            "address_2": "SUITE 200, CWING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133221",
            "telephone_number": "412-692-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUELKASEM",
        "first_name": "EZELDEEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2021-05-24",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301501134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.