Individual provider Active NPI

Lorelei Grunwaldt, MD

  • Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1902017205
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD433909 Issued in PA
Practice address
3705 5TH Ave
Pittsburgh, PA 15213-2584
Phone
(412) 692-8650
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD433909 PA Primary

Addresses

Primary practice location

3705 5TH Ave
Pittsburgh, PA 15213-2584

Mailing address

3705 5TH Ave
Pittsburgh, PA 15213-2584
Phone (412) 692-8650

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
I20080617000770 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 0840361952 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2008 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Plastic and Reconstructive Surgery CurrentSince Jul 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3705 Desoto St
Pittsburgh, PA 15213
Phone (412) 692-5180

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

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, 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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1902017205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132584",
            "telephone_number": "412-692-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132584",
            "telephone_number": "412-692-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNWALDT",
        "first_name": "LORELEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD433909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.