Active NPI
Michelina Fato, M.D.
- Internal Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1790748721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 040123 E
- Practice address
- 5230 Centre Ave
5TH Floor
Pittsburgh, PA 15232-1304 - Phone
- (412) 623-3351
- Fax
- (412) 623-3360
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 040123 E | PA | Primary |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | MD 040123 E | PA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD 040123 E | PA |
Addresses
Primary practice location
5230 Centre Ave
5TH Floor
Pittsburgh, PA 15232-1304
Mailing address
2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10926491 | Other | PA | CAQH |
| 3982714 | Other | PA | CIGNA HEALTHCARE |
| FA694437 | Other | PA | HIGHMARK |
| 252370 | Other | PA | UPMC HEALTH PLAN |
| FA694437 | Other | PA | PA BLUE CROSS/BLUE SHIELD |
| P00428038 | Other | PA | RAILROAD MEDICARE |
| 215177 | Other | PA | UNISON HEALTH PLAN |
| P001828 | Other | PA | GATEWAY HEALTH PLAN |
Other names 1
- Michelina Fato-Morter
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140912001688 | PA | Order and Referring Only - Internal Medicine | 0042301723 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 040123 E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1790748721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HOT METAL ST",
"address_2": "QUANTUM ONE, N430",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032348",
"telephone_number": "412-432-7706",
"fax_number": "412-432-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 CENTRE AVE",
"address_2": "5TH FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321304",
"telephone_number": "412-623-3351",
"fax_number": "412-623-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATO",
"first_name": "MICHELINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD 040123 E",
"primary": true
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "PA",
"license": "MD 040123 E",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD 040123 E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10926491",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3982714",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "FA694437",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "252370",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE CROSS/BLUE SHIELD",
"identifier": "FA694437",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00428038",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "215177",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P001828",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELINA",
"last_name": "FATO-MORTER",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.