Individual provider Active NPI

Jerome M Itzkoff, MD

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1972558815
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD 020427-E Issued in PA
Practice address
5200 Centre Ave
Suite 710
Pittsburgh, PA 15232-1300
Phone
(412) 621-5000
Fax
(412) 621-1804
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD 020427-E PA Primary

Addresses

Primary practice location

5200 Centre Ave
Suite 710
Pittsburgh, PA 15232-1300

Mailing address

5200 Centre Ave
Suite 710
Pittsburgh, PA 15232-1300
Phone (412) 621-5000

Other identifiers 6

IdentifierTypeStateIssuer
102465OtherPAUPMC FOR YOU
1013041OtherPAGATEWAY HEALTH PLAN
000000066228OtherPAUNISON HEALTH PLAN
00114147190006MedicaidPA
0012138000OtherPAINDEPENDENT BLUE SHIELD
65990OtherPAFIRST HEALTH

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
I20061128000008 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7315928793 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 020427-EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Habiba Health Services PC CurrentSince Oct 1, 2013 Accepting new patients
University of Pittsburgh Physicians Cardiovascular Disease CurrentSince Jan 17, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 17, 2018 Accepting new patients
Butler Medical Providers CurrentSince Aug 15, 2018 Accepting new patients
Butler Medical Providers CurrentSince Aug 15, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Butler Medical Providers Current Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Pittsburgh Cardiology Consultants, P.C. Cardiovascular Disease Past Accepting new patients
James Miller Oppy MD Cardiovascular Disease Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

235 State Route 288
Ellwood City, PA 16117
Phone (724) 752-3450

828 W Main St
Mt Pleasant, PA 15666
Phone (724) 547-4441

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1 Park Way
Seneca, PA 16346
Phone (814) 676-5444

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

5200 Centre Ave
Ste 203
Shadyside, PA 15232
Phone (412) 578-9747

Interoperability endpoints

  • Direct secure messaging: jerome.itzkoff@direct-address.net
  • Direct secure messaging: jennifer.lazor@direct-address.net

Organizations & group practices 11

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1972558815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 710",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-621-5000",
            "fax_number": "412-621-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 710",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-621-5000",
            "fax_number": "412-621-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZKOFF",
        "first_name": "JEROME",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD 020427-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR YOU",
            "identifier": "102465",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1013041",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000066228",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114147190006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT BLUE SHIELD",
            "identifier": "0012138000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "65990",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.