Individual provider Active NPI

David J Deitrick, DO

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
National Provider Identifier
1932115029
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS009677L Issued in PA
Practice address
180 Fort Couch Rd Ste 425
Pittsburgh, PA 15241-1051
Phone
(412) 283-1133
Fax
(412) 283-1139
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS009677L PA Primary

Addresses

Primary practice location

180 Fort Couch Rd Ste 425
Pittsburgh, PA 15241-1051

Mailing address

180 Fort Couch Rd Ste 425
Pittsburgh, PA 15241-1051
Phone (412) 283-1133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddeitrick28605@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
I20040621000865 PA Practitioner - Obstetrics/Gynecology 1456336817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

114 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 831-8089

118 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 469-7110

122 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 283-1133

138 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 267-6290

160 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 359-3457

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

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
Identity verified by CMS
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS009677LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2015 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

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

122 Gallery Dr
Mc Murray, PA 15317
Phone (412) 283-0110

180 Fort Couch Rd
Ste 425
Pittsburgh, PA 15241
Phone (412) 283-1133

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Interoperability endpoints

  • Direct secure messaging: ddeitrick28605@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1932115029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD STE 425",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411051",
            "telephone_number": "412-283-1133",
            "fax_number": "412-283-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD STE 425",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411051",
            "telephone_number": "412-283-1133",
            "fax_number": "412-283-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITRICK",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS009677L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddeitrick28605@direct.ahn.org",
            "affiliation": "N",
            "address_1": "180 Fort Couch Rd Ste 425",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152411051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.