Organization Active NPI

Ms Legacy, PC

  • Community/Behavioral Health Agency
  • Bridgeville, PA
National Provider Identifier
1972857936
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MD425723 Issued in PA
Legal business name
MS LEGACY, PC
Practice address
80 Emerson LN Ste 1303
Bridgeville, PA 15017-3472
Phone
(412) 221-7770
Fax
(412) 221-7773
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Dr. Muhammad Ilyas M.S. Shaikh, M.D.
Title
Owner
Phone
(412) 221-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MD425723 PA Primary

Addresses

Primary practice location

80 Emerson LN Ste 1303
Bridgeville, PA 15017-3472

Mailing address

5857 Longview Cir
Bridgeville, PA 15017-1277
Phone (412) 221-7770

Other names 1

  • Stepping Stones Psychiatric Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828002503 PA Part B Supplier - Clinic/Group Practice 5991244477 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeville, PA

National Provider Directory

National Provider Directory

Locations

1370 Washington Pike
Ste LL8
Bridgeville, PA 15017
Phone (412) 221-7770

80 Emerson Ln
Ste 1303
Bridgeville, PA 15017
Phone (412) 221-7770

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1972857936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5857 LONGVIEW CIR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171277",
            "telephone_number": "412-221-7770",
            "fax_number": "412-221-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EMERSON LN STE 1303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173472",
            "telephone_number": "412-221-7770",
            "fax_number": "412-221-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS LEGACY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "MUHAMMAD ILYAS",
        "authorized_official_middle_name": "M.S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-221-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "MD425723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Stones Psychiatric Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stepping Stones Psychiatric Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.

Verify at the official NPI Registry.