NPIMap

Individual provider Active NPI

Marc Samuel Itskowitz, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1922009901
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0728972 Issued in PA
Practice address
1307 Federal St Ste 304
Pittsburgh, PA 15212-4769
Phone
(412) 359-3682
Fax
(412) 359-8541
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 MD0728972 PA Primary

Addresses

Primary practice location

1307 Federal St Ste 304
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St Ste 304
Pittsburgh, PA 15212-4769
Phone (412) 359-3682

Other identifiers 3

IdentifierTypeStateIssuer
2680380MedicaidOH
3810002460MedicaidWV
001852936MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitskowitz14580@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000154 PA Practitioner - Internal Medicine 4880735257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite 304
Pittsburgh, PA 15212-4769
Phone (412) 359-3682

Hospital & facility affiliations

  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0728972PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2001 Accepting new patients
Allegheny Clinic Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

490 E North Ave
Ste 107
Pittsburgh, PA 15212
Phone (412) 359-3376

1307 Federal St
Ste 304
Pittsburgh, PA 15212
Phone (412) 359-3682

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

12311 Perry Hwy
Fl 1
Wexford, PA 15090
Phone (878) 332-4049

Organizations & group practices 5

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 11

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1922009901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-359-3682",
            "fax_number": "412-359-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-359-3682",
            "fax_number": "412-359-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITSKOWITZ",
        "first_name": "MARC",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD0728972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2680380",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002460",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001852936",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitskowitz14580@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St Ste 304",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.