Individual provider Active NPI

Andrea Maria Montilla-Santiago, MD

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1811493232
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD485274 Issued in PA
Practice address
3811 Ohara St
Pittsburgh, PA 15213-2561
Phone
(412) 624-1000
NPI assigned
Apr 4, 2018
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 70769 CT
Psychiatry Physician 2084P0800X MD485274 PA Primary

Addresses

Primary practice location

3811 Ohara St
Pittsburgh, PA 15213-2561

Mailing address

3811 Ohara St
Pittsburgh, PA 15213-2561
Phone (412) 624-1000

Other practice location 1

10 Talcott Notch Rd
Farmington, CT 06032-1800
Phone (860) 679-6700

Other practice location 2

263 Farmington Ave
Farmington, CT 06030-1921
Phone (860) 679-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220928003627 CT Practitioner - Psychiatry 0648529347 Reassigns benefits to 2 organizations
I20240819002553 PA Practitioner - Psychiatry 0648529347 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70769CTMDPsychiatry Physician
MD485274PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Jul 1, 2022 Accepting new patients
State of Connecticut CurrentSince Jul 1, 2022 Accepting new patients
University of Pittsburgh Physicians Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
State of Connecticut Current Accepting new patients
University of Connecticut Health Center CurrentSince Jul 1, 2022 Accepting new patients
State of Connecticut CurrentSince Jul 1, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients

Locations

10 Talcott Notch Rd
Farmington, CT 06032
Phone (860) 679-6700

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1811493232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-624-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-624-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Talcott Notch Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321800",
            "country_code": "US",
            "telephone_number": "860-679-6700",
            "fax_number": "860-679-6736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060301921",
            "country_code": "US",
            "telephone_number": "860-679-2147",
            "fax_number": "860-679-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTILLA-SANTIAGO",
        "first_name": "ANDREA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "70769",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD485274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.