Individual provider Active NPI

Harvey D. Shipkovitz, M.D.

  • Adult Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1841379286
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD015126E Issued in PA
Practice address
1312 Federal St
Pittsburgh, PA 15212-4706
Phone
(412) 321-0255
Fax
(412) 321-3452
NPI assigned
Nov 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD015126E PA Primary

Addresses

Primary practice location

1312 Federal St
Pittsburgh, PA 15212-4706

Mailing address

590 Old Mill Rd
Pittsburgh, PA 15238-1918
Phone (412) 963-1370

Other identifiers 3

IdentifierTypeStateIssuer
00061276OtherUNISON ADVANTAGE
0006585040001MedicaidPA
103793OtherBLUE CROSS/BLUE SHIELD

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
I20100208000076 PA Practitioner - Family Practice 7517853260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

800 Vinial St
Suite B405
Pittsburgh, PA 15212-5159
Phone (412) 321-0255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD015126EPAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Medical Practitioners and Specialists P.C. Adult Medicine CurrentSince Dec 4, 1978 Accepting new patients
Med Health Services Management, LP Past Accepting new patients

Locations

1312 Federal St
Pittsburgh, PA 15212
Phone (215) 608-8937

427 E Ohio St
Pittsburgh, PA 15212
Phone (412) 321-4653

800 Vinial St
Ste B405
Pittsburgh, PA 15212
Phone (412) 321-0255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1841379286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 OLD MILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381918",
            "telephone_number": "412-963-1370",
            "fax_number": "412-963-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 FEDERAL ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124706",
            "telephone_number": "412-321-0255",
            "fax_number": "412-321-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPKOVITZ",
        "first_name": "HARVEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD015126E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON ADVANTAGE",
            "identifier": "00061276",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006585040001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "103793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.