Individual provider Active NPI

Richard Alan Weisman, M.D.

  • Neurology Physician
  • Clairton, PA
National Provider Identifier
1912903451
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD012030E Issued in PA
Practice address
575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740
Phone
(412) 267-6360
Fax
(412) 469-6361
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD012030E PA Primary

Addresses

Primary practice location

575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740

Mailing address

575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740
Phone (412) 267-6360

Other identifiers 2

IdentifierTypeStateIssuer
0725170MedicaidPA
10938591OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rweisman134684@direct.ahn.org

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
I20070813000687 PA Practitioner - NeurologyPractitioner - Diagnostic Radiology 5193767150 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD012030EPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Mar 1, 2022 Accepting new patients
Allegheny Clinic Neurology CurrentSince Mar 1, 2022 Accepting new patients
Usdl Pittsburgh, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 108
Jefferson Hills, PA 15025
Phone (412) 469-1701

575 Coal Valley Rd
Ste 464
Jefferson Hills, PA 15025
Phone (412) 267-6360

575 Coal Valley Rd
Jefferson Hills, PA 15025
Phone (412) 469-5715

575 Coal Valley Rd
Ste 104
Jefferson Hills, PA 15025
Phone (412) 466-3111

575 Coal Valley Rd
Ste 573
Jefferson Hills, PA 15025
Phone (412) 469-3300

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

665 Rodi Rd
Ste 103
Pittsburgh, PA 15235
Phone (412) 466-3111

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

97 Delaware Ave
Ste 103
Uniontown, PA 15401
Phone (412) 267-6255

Interoperability endpoints

  • Direct secure messaging: rweisman134684@direct.ahn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1912903451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 464",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253740",
            "telephone_number": "412-267-6360",
            "fax_number": "412-469-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 464",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253740",
            "telephone_number": "412-267-6360",
            "fax_number": "412-469-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD012030E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0725170",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10938591",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rweisman134684@direct.ahn.org",
            "affiliation": "N",
            "address_1": "575 Coal Valley Rd Ste 464",
            "city": "Clairton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.