Upmc Community Medicine Inc
Organization Active NPI Internal Medicine Physician · Duquesne, PA
NPI 1881828069 · NPPES record last updated May 4, 2009
Key facts
- NPI
- 1881828069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UPMC COMMUNITY MEDICINE INC
- Practice address
- 424 Grant Ave
Duquesne, PA 15110-1011 - Phone
- (412) 647-0943
- Fax
- (412) 647-4050
- NPI assigned
- May 4, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Ehalt
- Title
- Director
- Phone
- (412) 647-0943
Corporate family (same tax ID) 24
Practitioners 6
-
Kelley Anderson, DO
-
Ryan Gelfand, PA-C
-
Thomas Robert Zink, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000388 | PA | Part B Supplier - Clinic/Group Practice | 2062318975 |
Receives reassigned benefits from 1,494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- University Family Pract
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
424 Grant Ave
Duquesne, PA 15110-1011
Mailing address
424 Grant Ave
Duquesne, PA 15110-1011
Phone (412) 647-0943
Other names
- Mubashar Shoaib Chughtai,MD - UPMC
NPI Registry JSON
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1881828069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 GRANT AVE",
"city": "DUQUESNE",
"state": "PA",
"postal_code": "151101011",
"telephone_number": "412-647-0943",
"fax_number": "412-647-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 GRANT AVE",
"city": "DUQUESNE",
"state": "PA",
"postal_code": "151101011",
"telephone_number": "412-647-0943",
"fax_number": "412-647-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC COMMUNITY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "EHALT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "412-647-0943",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mubashar Shoaib Chughtai,MD - UPMC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Duquesne, PA
- Whitney Rowley
- Raeann M Taylor
- Tor'Rayah'S Touch LLC
- Upmc Community Medicine Inc
- Upmc Community Medicine Inc
All providers in Duquesne, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.