Individual provider Active NPI

Jordan D. Kalkstein, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1841700283
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059411 Issued in PA
Practice address
6343 Penn Ave
Pittsburgh, PA 15206-4011
Phone
(412) 363-2200
NPI assigned
Oct 11, 2017
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059411 PA Primary

Addresses

Primary practice location

6343 Penn Ave
Pittsburgh, PA 15206-4011

Mailing address

363 S Highland Ave Apt 303
Pittsburgh, PA 15206-4258
Phone (412) 841-8585

Other practice location 1

125 Daugherty Dr Ste 301
Monroeville, PA 15146-2749
Phone (412) 856-4666

Other names 1

  • Jordan Denise Mele Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113001398 PA Practitioner - Physician Assistant 5991059818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 24, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 24, 2018 Accepting new patients
Specialists in Cardiovascular Medicine, PC PastSince Mar 17, 2024 Accepting new patients
Children's Community Care Past Accepting new patients
Childrens Community Pediatrics PastSince Sep 6, 2020 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

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

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

4401 Penn Ave
Rm 2113
Pittsburgh, PA 15224

Interoperability endpoints

  • Direct secure messaging: jordan.d.mele@upmcdirect.com

Organizations & group practices 7

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1841700283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S HIGHLAND AVE APT 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064258",
            "telephone_number": "412-841-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064011",
            "telephone_number": "412-363-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Daugherty Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462749",
            "country_code": "US",
            "telephone_number": "412-856-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALKSTEIN",
        "first_name": "JORDAN",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MELE",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.