Individual provider Active NPI

Justin Pilgrim, D.O.

  • Reproductive Endocrinology Physician
  • Tacoma, WA
National Provider Identifier
1881841583
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
168675 Issued in AK
Practice address
9040 Jackson Avenue Madigan Army Medical Center
Tacoma, WA 98431-5001
Phone
(253) 968-1110
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS015163 PA
Student in an Organized Health Care Education/Training Program 390200000X
Reproductive Endocrinology Physician 207VE0102X 168675 AK Primary

Addresses

Primary practice location

9040 Jackson Avenue Madigan Army Medical Center
Tacoma, WA 98431-5001

Mailing address

9040 Jackson Avenue Madigan Army Medical Center
Tacoma, WA 98431-0001
Phone (253) 968-3162

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
I20211021002424 PA Practitioner - Obstetrics/Gynecology 1557652203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015163PAMDObstetrics & Gynecology Physician
168675AKMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Nov 1, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

9335 McKnight Rd
Ste 240
Pittsburgh, PA 15237
Phone (412) 578-5588

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

200 Quinn Dr
Ste 120
Pittsburgh, PA 15275
Phone (412) 847-1166

Interoperability endpoints

  • Direct secure messaging: jpilgrim441884@direct.ahn.org

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1881841583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVENUE MADIGAN ARMY MEDICAL CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVENUE MADIGAN ARMY MEDICAL CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984315001",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILGRIM",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS015163",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AK",
            "license": "168675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.