Individual provider Active NPI

Kees Hugo Polderman, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Pittsburgh, PA
National Provider Identifier
1881921534
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
MD438622 Issued in PA
Practice address
3550 Terrace Street
6TH FL Scaife Hall
Pittsburgh, PA 15261
Phone
(412) 647-3136
Fax
(412) 647-8060
NPI assigned
Nov 17, 2009
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X MD438622 PA Primary

Addresses

Primary practice location

3550 Terrace Street
6TH FL Scaife Hall
Pittsburgh, PA 15261

Mailing address

3550 Terrace Street
6TH FL Scaife Hall
Pittsburgh, PA 15261
Phone (412) 647-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jun 10, 2022 Accepting new patients
University of Pittsburgh Physicians Critical Care Medicine CurrentSince Nov 1, 2009 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2009 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jun 10, 2022 Accepting new patients

Locations

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1881921534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 TERRACE STREET",
            "address_2": "6TH FL SCAIFE HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15261",
            "telephone_number": "412-647-3136",
            "fax_number": "412-647-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 TERRACE STREET",
            "address_2": "6TH FL SCAIFE HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15261",
            "telephone_number": "412-647-3136",
            "fax_number": "412-647-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLDERMAN",
        "first_name": "KEES",
        "middle_name": "HUGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "PA",
            "license": "MD438622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.