Individual provider Active NPI

Satish Babu Kanakamedala, MD.

  • Gastroenterology Physician
  • Monroeville, PA
National Provider Identifier
1780657544
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD047704L Issued in PA
Practice address
4318 Northern Pike Ste 203
Monroeville, PA 15146-2846
Phone
(412) 683-2488
Fax
(412) 683-4420
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD47704L PA
Gastroenterology Physician 207RG0100X MD047704L PA Primary

Addresses

Primary practice location

4318 Northern Pike Ste 203
Monroeville, PA 15146-2846

Mailing address

4318 Northern Pike Ste 203
Monroeville, PA 15146-2846
Phone (412) 683-2488

Other identifiers 3

IdentifierTypeStateIssuer
0000004793OtherPABLUE SHIELD
0014251780005MedicaidPA
10723709OtherCAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050505000908 PA Practitioner - Gastroenterology 6709826001 Reassigns benefits to 1 organization
Practice locations: Monroeville, PA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite B100
Pittsburgh, PA 15212-4761
Phone (412) 359-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD47704LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Gastroenterology CurrentSince Sep 8, 2022 Accepting new patients
Allegheny Clinic CurrentSince Sep 8, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
DV Professional Group PLLC PastSince Dec 1, 2025 Accepting new patients

Locations

4217 Northern Pike
Monroeville, PA 15146
Phone (412) 372-9100

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

1307 Federal St
Ste B100
Pittsburgh, PA 15212
Phone (412) 359-4667

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

Interoperability endpoints

  • Direct secure messaging: skanakamedala10985@direct.ahn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1780657544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 NORTHERN PIKE STE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462846",
            "telephone_number": "412-683-2488",
            "fax_number": "412-683-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 NORTHERN PIKE STE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462846",
            "telephone_number": "412-683-2488",
            "fax_number": "412-683-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAKAMEDALA",
        "first_name": "SATISH",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD47704L",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD047704L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0000004793",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014251780005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10723709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.