Individual provider Active NPI

Patricia E. Staley, MD

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1922235316
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD474609 Issued in PA
Practice address
3420 5TH Ave
Pittsburgh, PA 15213-3205
Phone
(412) 692-6000
Fax
(412) 692-5807
NPI assigned
Jun 12, 2009
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 042.0013785 VT
Pediatrics Physician 208000000X MD474609 PA Primary

Addresses

Primary practice location

3420 5TH Ave
Pittsburgh, PA 15213-3205

Mailing address

3414 5TH Ave
Pittsburgh, PA 15213-3205
Phone (412) 692-8506

Other identifiers 2

IdentifierTypeStateIssuer
1030805MedicaidVT
3109511MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.e.staley@upmcdirect.com

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
I20220120002488 PA Practitioner - Pediatric Medicine 0941457824 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 Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Children's Community Care Pediatrics Past Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients

Locations

1811 Blvd of the Allies
Ste 200
Pittsburgh, PA 15219
Phone (412) 566-1568

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3420 5th Ave
Pittsburgh, PA 15213
Phone (412) 692-6000

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: patricia.e.staley@upmcdirect.com

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, 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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1922235316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133205",
            "telephone_number": "412-692-8506",
            "fax_number": "412-692-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133205",
            "telephone_number": "412-692-6000",
            "fax_number": "412-692-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "PATRICIA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042.0013785",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD474609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030805",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109511",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.e.staley@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.