Individual provider Active NPI

Andrew Perez IV, M.D.

  • Pulmonary Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1801856125
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD064093L Issued in PA
Practice address
1050 Bower Hill Rd Ste 306
Pittsburgh, PA 15243-1870
Phone
(412) 232-5549
Fax
(412) 232-8215
NPI assigned
Mar 23, 2006
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD064093L PA
Pulmonary Disease Physician 207RP1001X MD064093L PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd Ste 306
Pittsburgh, PA 15243-1870

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn Patnesk
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

1350 Locust St Ste G104
Pittsburgh, PA 15219-4738
Phone (412) 232-5549

Other identifiers 8

IdentifierTypeStateIssuer
56-2589074OtherPAUNITED HEALTHCARE
216438OtherPAUPMC
56-2589074OtherPAHEALTH AMERICA
688744OtherPAHIGHMARK
56-2589074OtherPAINTERGROUP
0018097200001MedicaidPA
0018097200005MedicaidPA
4864602OtherPACIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20061208000227 PA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5496754087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

1050 Bower Hill Rd
Pittsburgh, PA 15243-1870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064093LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Professional Services Inc CurrentSince Aug 11, 2022 Accepting new patients
St Clair Professional Services Inc CurrentSince Aug 11, 2022 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Dec 1, 2019 Accepting new patients
St. Clair Medical Services Inc. Pulmonary Disease CurrentSince Dec 1, 2019 Accepting new patients
St Clair Professional Services Inc Pulmonary Disease Past Accepting new patients
St Clair Medical Services Inc Past Accepting new patients
Pulmonary and Critical Care Associates Specialist Past Accepting new patients

Locations

3928 Washington Rd
Ste 270
McMurray, PA 15317
Phone (412) 429-8840

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1050 Bower Hill Rd
Ste 306
Pittsburgh, PA 15243
Phone (412) 572-6168

1350 Locust St
Ste G104
Pittsburgh, PA 15219
Phone (412) 232-5549

Interoperability endpoints

  • Direct secure messaging: pamalyn.patnesky@stclair.org

Organizations & group practices 8

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 3

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1801856125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN PATNESK",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431870",
            "telephone_number": "412-232-5549",
            "fax_number": "412-232-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Locust St Ste G104",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152194738",
            "country_code": "US",
            "telephone_number": "412-232-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD064093L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD064093L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "56-2589074",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "216438",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "56-2589074",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "688744",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "56-2589074",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018097200001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018097200005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4864602",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1050 Bower Hill Rd Ste 306",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.