Active NPI
Jerome M Itzkoff, MD
- Cardiovascular Disease Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD 020427-E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102465 | Other | PA | UPMC FOR YOU |
| 1013041 | Other | PA | GATEWAY HEALTH PLAN |
| 000000066228 | Other | PA | UNISON HEALTH PLAN |
| 00114147190006 | Medicaid | PA | |
| 0012138000 | Other | PA | INDEPENDENT BLUE SHIELD |
| 65990 | Other | PA | FIRST 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 020427-E | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Habiba Health Services PC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Cardiovascular Disease | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | 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
- jerome.itzkoff@direct-address.net
- 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.
-
- Gastroenterology Physician
- Butler, PA
- NPI 1619493046
-
- Internal Medicine Physician
- Mt Pleasant, PA
- NPI 1043237944
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Clinical Cardiac Electrophysiology Physician
- Butler, PA
- NPI 1851657548
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1568427532
-
- Family Medicine Physician
- Connellsville, PA
- NPI 1174649057
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1720027741
-
- Oncology Clinic/Center
- Pittsburgh, PA
- NPI 1346489143
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.