Active NPI
Emanuel E Mamatas, MD
- Internal Medicine Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD039856L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010640020002 | Medicaid | PA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031219000005 | PA | Practitioner - Internal Medicine | 3577460245 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mamatas Medical Associates | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Allegheny Clinic | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Caring Hospice Services LLC | 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.
-
- Community Based Hospice Care Agency
- Pittsburgh, PA
- NPI 1003131699
Contracted Managing Employee
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.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1558856682
-
- Family Medicine Physician
- Verona, PA
- NPI 1033622485
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.