Active NPI
Miriam Teitelbaum, DO
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1811251887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS017659
- Practice address
- 5889 Forbes Avenue
Suite 200
Pittsburgh, PA 15217-4601 - Phone
- (412) 618-3010
- Fax
- (412) 618-3011
- NPI assigned
- Jun 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS017659 | PA | Primary |
Addresses
Primary practice location
5889 Forbes Avenue
Suite 200
Pittsburgh, PA 15217-4601
Mailing address
5889 Forbes Avenue
Suite 200
Pittsburgh, PA 15217-4601
Phone (412) 618-3010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103043588 | Medicaid | PA | |
| 13596448 | Other | PA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1811251887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5889 FORBES AVENUE",
"address_2": "SUITE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152174601",
"telephone_number": "412-618-3010",
"fax_number": "412-618-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5889 FORBES AVENUE",
"address_2": "SUITE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152174601",
"telephone_number": "412-618-3010",
"fax_number": "412-618-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEITELBAUM",
"first_name": "MIRIAM",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS017659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103043588",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13596448",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.