Active NPI
Upmc Community Medicine Inc
Doing business as UPMC Keystone Primary Care-Drs Shetty & Paul
- Geriatric Medicine (Internal Medicine) Physician
- Murrysville, PA
National Provider Identifier
1942337712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- UPMC COMMUNITY MEDICINE INC
- Doing business as
- UPMC Keystone Primary Care-Drs Shetty & Paul
- Practice address
- 4212 Old William Penn Hwy
Murrysville, PA 15668-1901 - Phone
- (724) 733-1725
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ehalt
- Title
- Director
- Phone
- (412) 647-0943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
4212 Old William Penn Hwy
Murrysville, PA 15668-1901
Mailing address
4212 Old William Penn Hwy
Murrysville, PA 15668-1901
Phone (724) 733-1725
Other names 1
- UPMC Keystone Primary Care-Drs Shetty & Paul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000388 | PA | Part B Supplier - Clinic/Group Practice | 2062318975 |
Receives reassigned benefits from 1,494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Pittsburgh, PA
- NPI 1821048455
-
- Family Medicine Physician
- Monroeville, PA
- NPI 1902059777
-
- Family Nurse Practitioner
- Cranberry TWP, PA
- NPI 1255854923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191888000000",
"number": "1942337712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681901",
"telephone_number": "724-733-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681901",
"telephone_number": "724-733-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC COMMUNITY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "EHALT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "412-647-0943"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UPMC Keystone Primary Care-Drs Shetty & Paul",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Murrysville, PA
- Christine L. Tragesser, ARDMS
- Paul Joseph Trainer, MD
- Heather Ann Trettel, LPC
- Mary Rita Turka, CRNP
- Upmc Community Medicine Inc (Partners In Health - UPMC - Murrysville)
- Jordan Valley, LSW
- Rebecca Van Veghel, LPC
- Bethany Vankirk, D.C.
- Donald M Vargo, P.T.
- Verdone Psychological Assessment and Consultation, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.