NPIMap

Individual provider Active NPI

Nathan R Shively, MD

  • Infectious Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1801182332
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD461187 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-3683
Fax
(412) 359-3373
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD461187 PA Primary
Internal Medicine Physician 207R00000X MD20188 ME

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

420 E North Ave Ste 406
Pittsburgh, PA 15212-4746
Phone (412) 359-3683

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nshively133666@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725002040 PA Practitioner - Infectious Disease 2264666189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

1307 Federal St
Suite B110
Pittsburgh, PA 15212-4773
Phone (412) 359-3360

320 E N Ave
Pittsburgh, PA 15212-4756

4800 Friendship Ave
Pittsburgh, PA 15224-1722

631 N Broad St Ext
Grove City, PA 16127-4603

631 N Broad St Extension
Agh Radiation Oncology
Grove City, PA 16127-4603
Phone (724) 450-7182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20188MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 1, 2017 Accepting new patients
Allegheny Clinic Infectious Disease CurrentSince Jul 1, 2017 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Mar 3, 2018 Accepting new patients
Allegheny Clinic Current Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Mar 3, 2018 Accepting new patients

Locations

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1307 Federal St
Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

420 E North Ave
Ste 406
Pittsburgh, PA 15212
Phone (412) 359-3376

Organizations & group practices 5

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 9

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1801182332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 406",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-3683",
            "fax_number": "412-359-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3683",
            "fax_number": "412-359-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "NATHAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD461187",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshively133666@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.