Individual provider Active NPI

Olivia Rafalowski

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1851809313
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059621 Issued in PA
Practice address
4401 Penn Ave
3Rd Floor,Bear Clinic
Pittsburgh, PA 15224-1334
Phone
(412) 298-9220
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059621 PA Primary

Addresses

Primary practice location

4401 Penn Ave
3Rd Floor,Bear Clinic
Pittsburgh, PA 15224-1334

Mailing address

4401 Penn Ave
3Rd Floor,Bear Clinic
Pittsburgh, PA 15224-1334

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHP@upmcdirect.com UPMC

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
I20180212000853 PA Practitioner - Physician Assistant 7113287236 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 Jan 22, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 22, 2018 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030

4401 Penn Ave
Fl 3
Pittsburgh, PA 15224
Phone (412) 692-5135

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Organizations & group practices 4

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1851809313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE",
            "address_2": "3RD FLOOR,BEAR CLINIC",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE",
            "address_2": "3RD FLOOR,BEAR CLINIC",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241334",
            "telephone_number": "412-298-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALOWSKI",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHP@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.