Individual provider Active NPI

Mallory Strickland Ciuksza, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1912261280
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD455523 Issued in PA
Practice address
250 Mount Lebanon Blvd Ste 306
Pittsburgh, PA 15234-1252
Phone
(412) 563-5560
Fax
(412) 563-6697
NPI assigned
Jul 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 MD455523 PA Primary

Addresses

Primary practice location

250 Mount Lebanon Blvd Ste 306
Pittsburgh, PA 15234-1252

Mailing address

1000 Bower Hill Rd
Attn St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

5301 Grove Rd Ste 631
Pittsburgh, PA 15236-1693
Phone (412) 942-9105

Other practice location 2

250 Mount Lebanon Blvd Ste 306
Castle Shannon, PA 15234-1252
Phone (412) 563-5560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@Stclair.org
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20150930001480 PA Practitioner - Internal Medicine 2466760103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

2000 Oxford Dr
Bethel Park, PA 15102-1841

5301 Grove Rd
Suite 631
Pittsburgh, PA 15236-1693
Phone (412) 942-9105

Hospital & facility affiliations

  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • Allegheny Health Network Healthcare at Home Home Health Home health agency, Canonsburg, PA, CCN 398088
  • Gallagher Home Health Services Home health agency, Bridgeville, PA, CCN 398024
  • Upmc Home Healthcare Home health agency, Seven Fields, PA, CCN 397636
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455523PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Aug 1, 2016 Accepting new patients
St Clair Medical Services, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

2000 Oxford Dr
Ste 420
Bethel Park, PA 15102
Phone (412) 279-5372

250 Mount Lebanon Blvd
Ste 306
Pittsburgh, PA 15234
Phone (412) 563-5560

5301 Grove Rd
Ste 631
Pittsburgh, PA 15236
Phone (412) 942-9105

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: malloryciuksza@sch.allscriptsdirect.net

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1912261280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MOUNT LEBANON BLVD STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341252",
            "telephone_number": "412-563-5560",
            "fax_number": "412-563-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Grove Rd Ste 631",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152361693",
            "country_code": "US",
            "telephone_number": "412-942-9105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Mount Lebanon Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Castle Shannon",
            "state": "PA",
            "postal_code": "152341252",
            "country_code": "US",
            "telephone_number": "412-563-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIUKSZA",
        "first_name": "MALLORY",
        "middle_name": "STRICKLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD455523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@Stclair.org",
            "affiliation": "N",
            "address_1": "250 Mount Lebanon Blvd Ste 306",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152341252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "5301 Grove Rd Ste 631",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152361693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.