Individual provider Active NPI

Shiv Bharadwaj Dua, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1922495589
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD463932 Issued in PA
Practice address
4800 Friendship Ave
Pittsburgh, PA 15224
Phone
(412) 359-3166
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD463932 PA Primary

Addresses

Primary practice location

4800 Friendship Ave
Pittsburgh, PA 15224

Mailing address

4800 Friendship Ave
Pittsburgh, PA 15224-1793
Phone (412) 359-3166

Other practice location 1

320 East North Avenue
Allegheny General Hospital
Pittsburgh, PA 15212
Phone (412) 359-3166

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
I20180703001375 PA Practitioner - Emergency Medicine 7618255878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
81.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99 of 100Reported as group
Quality
95.9
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Forbes LTD. Emergency Medicine CurrentSince Sep 6, 2018 Accepting new patients
Ahn Emergency Group of West Penn LTD. Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince May 10, 2023 Accepting new patients

Locations

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1922495589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241793",
            "telephone_number": "412-359-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-359-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 East North Avenue",
            "address_2": "Allegheny General Hospital",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-359-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUA",
        "first_name": "SHIV",
        "middle_name": "BHARADWAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD463932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.