Individual provider Active NPI

Henry A Bakkila, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1962458976
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD027136E Issued in PA
Practice address
111 Sheridan St
Pittsburgh, PA 15209-2639
Phone
(412) 821-2277
Fax
(412) 821-1453
NPI assigned
May 25, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD027136E PA Primary

Addresses

Primary practice location

111 Sheridan St
Pittsburgh, PA 15209-2639

Mailing address

600 Watercrest Way
Suite 630
Cheswick, PA 15024-1370
Phone (724) 274-9451

Other identifiers 2

IdentifierTypeStateIssuer
0009797990001MedicaidPA
198345OtherPAHIGHMARK

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
I20040121000655 PA Practitioner - Family Practice 8628970613 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027136EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Dec 25, 2013 Accepting new patients
Upmc Community Medicine Inc Family Medicine CurrentSince Dec 25, 2013 Accepting new patients
Renaissance Family Practice-Upmc, Inc Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Oct 1, 2008 Accepting new patients
Upmc St. Margaret Past Accepting new patients

Locations

301 11th St
New Kensington, PA 15068
Phone (724) 334-3640

103 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 781-1917

111 Sheridan St
Pittsburgh, PA 15209
Phone (412) 821-2277

2 Hot Metal St
Ste N303
Pittsburgh, PA 15203

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1962458976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WATERCREST WAY",
            "address_2": "SUITE 630",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241370",
            "telephone_number": "724-274-9451",
            "fax_number": "724-274-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHERIDAN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152092639",
            "telephone_number": "412-821-2277",
            "fax_number": "412-821-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKILA",
        "first_name": "HENRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027136E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009797990001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "198345",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.