Individual provider Active NPI

Renata Jurczak, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1952379182
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD423256 Issued in PA
Practice address
3811 Ohara St
Pittsburgh, PA 15213-2593
Phone
(412) 624-2000
Fax
(412) 586-9532
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD423256 PA Primary

Addresses

Primary practice location

3811 Ohara St
Pittsburgh, PA 15213-2593

Mailing address

3811 Ohara St
Pittsburgh, PA 15213-2593
Phone (412) 624-2000

Other identifiers 1

IdentifierTypeStateIssuer
1013653590001MedicaidPA

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
I20040805000432 PA Practitioner - Psychiatry 2567433188 Reassigns benefits to 2 organizations
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Milestone Centers Inc.Group PAC ID 7012991110, 8 clinicians

Practice addresses (Care Compare)

777 Penn Ctr Blvd
Suite 200
Pittsburgh, PA 15235-5928
Phone 4127319707202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp CurrentSince Sep 4, 2007 Accepting new patients
Milestone Centers Inc. CurrentSince Dec 13, 2025 Accepting new patients
Mercy Life Center Corporation CurrentSince Sep 4, 2007 Accepting new patients
Wpic Physician Practice Corp Inc Past Accepting new patients

Locations

777 Penn Center Blvd
Ste 200
Pittsburgh, PA 15235
Phone (412) 243-3400

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

712 South Ave
Wilkinsburg, PA 15221
Phone (412) 243-3400

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

Organizations & group practices 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1952379182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593",
            "telephone_number": "412-624-2000",
            "fax_number": "412-586-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593",
            "telephone_number": "412-624-2000",
            "fax_number": "412-586-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURCZAK",
        "first_name": "RENATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD423256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013653590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.