Individual provider Active NPI

Fermin Calderon-Dujarric, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1851319768
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD446151 Issued in PA
Practice address
490 E North Ave
Suite 305
Pittsburgh, PA 15212-4741
Phone
(412) 442-2505
Fax
(412) 321-1627
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD446151 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD446151 PA Primary

Addresses

Primary practice location

490 E North Ave
Suite 305
Pittsburgh, PA 15212-4741

Mailing address

490 E North Ave
Suite 305
Pittsburgh, PA 15212-4741
Phone (412) 442-2505

Other identifiers 4

IdentifierTypeStateIssuer
106693196AMedicaidGA
0068116MedicaidOH
1027334960001MedicaidPA
3810023537MedicaidWV

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
I20120802000617 PA Practitioner - Critical Care (Intensivists) 7719950468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 323-4400

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD446151PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 1, 2012 Accepting new patients
Allegheny Clinic Critical Care Medicine CurrentSince Aug 1, 2012 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Past Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients
Integrated Pulmonary Physicians LTD Past Accepting new patients

Locations

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

490 E North Ave
Ste 305
Pittsburgh, PA 15212
Phone (412) 231-1110

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: fcalderondujarric10668@direct.ahn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1851319768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 305",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124741",
            "telephone_number": "412-442-2505",
            "fax_number": "412-321-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "SUITE 305",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124741",
            "telephone_number": "412-442-2505",
            "fax_number": "412-321-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON-DUJARRIC",
        "first_name": "FERMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD446151",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD446151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106693196A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068116",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027334960001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023537",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.