Colleen K Ebbert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD056817L Issued in PA

Practice address

200 Delafield Rd Ste 2030
Pittsburgh, PA 15215-3214

Phone

(412) 782-2101

Fax

(412) 782-2108

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colleen.ebbert.1@18710.direct.athenahealth.com

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.

• Renaissance Family Practice-Upmc, Inc

  • Family Medicine Physician
  • Verona, PA
  • NPI 1467616813
  Medicare reassignment NPD
• Upmc Community Medicine, Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment NPD
• Renaissance Family Practice-Upmc,Inc

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1639325061
  NPD
• Upmc Community Medcine Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1982731758
  NPD
• Upmc St. Margaret

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1750445607
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1780623306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WATERCREST WAY",
            "address_2": "SUITE 630",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241370",
            "telephone_number": "724-274-9451",
            "fax_number": "724-274-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DELAFIELD RD STE 2030",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153214",
            "telephone_number": "412-782-2101",
            "fax_number": "412-782-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBERT",
        "first_name": "COLLEEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD056817L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080112250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "175950",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015936470002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joylynn Eaton, CRNA
• Julia Eaton
• Tammy L Eaton, CRNP
• Sarah Sharbaugh Eayre, PT, DPT
• Tracie Ebalu
• Laura Ebbert, OTR
• Ebenezer Outreach Ministries
• Libby Lyn Eber, L.M.T.
• Stacy L Eber
• Juanika Eberhardt

• Family Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.