Individual provider Active NPI

Emanuel E Mamatas, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1891768511
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039856L Issued in PA
Practice address
10 Duff Rd Ste 212
Pittsburgh, PA 15235
Phone
(412) 216-5825
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD039856L PA Primary

Addresses

Primary practice location

10 Duff Rd Ste 212
Pittsburgh, PA 15235

Mailing address

6149 Saltsburg Rd
Verona, PA 15147-3542
Phone (412) 924-1130

Other identifiers 1

IdentifierTypeStateIssuer
0010640020002MedicaidPA

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
I20031219000005 PA Practitioner - Internal Medicine 3577460245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mamatas Medical Associates CurrentSince Jun 15, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic PastSince Jan 1, 2014 Accepting new patients

Locations

10 Duff Rd
Ste 212
Pittsburgh, PA 15235
Phone (412) 216-5825

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caring Hospice Services LLCMonroeville, PA, CCN 391724 Hospice Contracted Managing Employee Jun 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530403200000",
    "number": "1891768511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473542",
            "telephone_number": "412-924-1130",
            "fax_number": "412-924-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DUFF RD STE 212",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-216-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMATAS",
        "first_name": "EMANUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039856L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010640020002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.