Active NPI
Premier Medical Associates, PC
- Clinical Medical Laboratory
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 000869A
- Legal business name
- PREMIER MEDICAL ASSOCIATES, PC
- Practice address
- 3824 Northern Pike
Ste 650
Monroeville, PA 15146-2141 - Phone
- (412) 380-2852
- Fax
- (412) 380-2785
- NPI assigned
- Mar 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Derubeis
- Title
- Ceo
- Phone
- (412) 457-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 000869A | PA | Primary |
Addresses
Primary practice location
3824 Northern Pike
Ste 650
Monroeville, PA 15146-2141
Mailing address
3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007504600089 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000744 | PA | Part B Supplier - Independent Clinical Laboratory | 9830003235 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monroeville, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Monroeville, PA
- NPI 1447281092
O20040115000744
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1076637 | Premier Medical Assoc | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Premier Medical Assocs PC
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Pittsburgh, PA
- NPI 1467593574
-
- Non-Pharmacy Dispensing Site
- Pittsburgh, PA
- NPI 1699816272
-
- Non-Pharmacy Dispensing Site
- North Versailles, PA
- NPI 1699816967
-
- Non-Pharmacy Dispensing Site
- Monroeville, PA
- NPI 1700928868
-
- Non-Pharmacy Dispensing Site
- Monroeville, PA
- NPI 1992846562
-
- Rheumatology Physician
- Monroeville, PA
- NPI 1568818755
-
- Optometrist
- Pittsburgh, PA
- NPI 1629438577
Locations
3520 Route 130
Ste 2
Irwin, PA 15642
Phone (724) 744-7337
3000 Village Dr
Ste 100
Jeannette, PA 15644
Phone (724) 744-7337
3000 Village Dr
Ste 101
Jeannette, PA 15644
Phone (412) 856-5335
3000 Village Dr
Ste 103
Jeannette, PA 15644
Phone (724) 744-2500
3824 Northern Pike
Ste 900
Monroeville, PA 15146
Phone (412) 457-0422
3824 Northern Pike
Ste 415
Monroeville, PA 15146
Phone (412) 342-6030
3824 One Monroeville Ctr
Monroeville, PA 15146
Phone (412) 373-6342
3824 Northern Pike
Ste 625
Monroeville, PA 15146
Phone (412) 380-2885
3824 Northern Pike
Ste 650
Monroeville, PA 15146
Phone (412) 380-2852
3824 Northern Pike
Ste 750
Monroeville, PA 15146
Phone (412) 380-2885
3824 Northern Pike
Ste 475
Monroeville, PA 15146
Phone (412) 351-1858
8775 Norwin Ave
Ste 108
North Huntingdon, PA 15642
Phone (412) 351-1858
310 Rodi Rd
#200
Pittsburgh, PA 15235
Phone (412) 856-5335
310 Rodi Rd
Ste 140
Pittsburgh, PA 15235
Phone (412) 371-6414
1723 Ardmore Blvd
Pittsburgh, PA 15221
Phone (412) 241-7700
310 Rodi Rd
#160
Pittsburgh, PA 15235
Phone (412) 380-2750
2140 Ardmore Blvd
#150
Pittsburgh, PA 15221
Phone (412) 271-2400
1000 Integrity Dr
Ste 102
Pittsburgh, PA 15235
Phone (412) 243-1945
4815 Liberty Ave
Ste 426
Pittsburgh, PA 15224
Phone (412) 682-2536
2140 Ardmore Blvd
#100
Pittsburgh, PA 15221
Phone (412) 380-2750
100 Delafield Rd
Ste 301
Pittsburgh, PA 15215
Phone (412) 784-1900
4815 Liberty Ave
Ste MZ2
Pittsburgh, PA 15224
Phone (412) 380-2750
Practitioners & affiliated clinicians
Practitioners 182
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Monroeville, PA
- NPI 1396473906
-
- Family Medicine Physician
- Monroeville, PA
- NPI 1134162456
-
- Infectious Disease Physician
- Monroeville, PA
- NPI 1689673097
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1902840887
-
- Physician Assistant
- Pittsburgh, PA
- NPI 1336684133
-
- Hospitalist Physician
- Pittsburgh, PA
- NPI 1033504030
-
- Hospitalist Physician
- Monroeville, PA
- NPI 1598259913
-
- Allergy & Immunology (Internal Medicine) Physician
- Pittsburgh, PA
- NPI 1467913186
-
- Cardiovascular Disease Physician
- Monroeville, PA
- NPI 1821416199
-
- Ophthalmology Physician
- Pittsburgh, PA
- NPI 1205808185
-
- Hospitalist Physician
- Pittsburgh, PA
- NPI 1487038105
-
- Nurse Practitioner
- Monroeville, PA
- NPI 1679070015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364515200000",
"number": "1851634752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "STE 700",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-457-0060",
"fax_number": "412-457-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "STE 650",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-380-2852",
"fax_number": "412-380-2785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A",
"authorized_official_last_name": "DERUBEIS",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-457-0060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "000869A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007504600089",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.