Active NPI
Justin Pilgrim, D.O.
- Reproductive Endocrinology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 168675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS015163 | PA | MD | Obstetrics & Gynecology Physician |
| 168675 | AK | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Obstetrics & Gynecology | Current | 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
- 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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Obstetrics & Gynecology Physician
- Monroeville, PA
- NPI 1760817316
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1629078332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.