Organization Active NPI

Premier Medical Associates, PC

  • Clinical Medical Laboratory
  • Monroeville, PA
National Provider Identifier
1851634752
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
000869A Issued in PA
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

Updated by the provider on Mar 29, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1007504600089MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1076637Premier Medical Assoc3824 Northern Pike, Monroeville, PA 15146Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Premier Medical Assocs PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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.

View all 182

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.

Verify at the official NPI Registry.