Active NPI
Carmen Diana Proctor, MD
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD473041
- Practice address
- 4815 Liberty Ave Ste GR50
Pittsburgh, PA 15224-2156 - Phone
- (412) 578-3951
- Fax
- (412) 578-1587
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0116030501 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD473041 | PA | Primary |
Addresses
Primary practice location
4815 Liberty Ave Ste GR50
Pittsburgh, PA 15224-2156
Mailing address
4815 Liberty Ave Ste GR50
Pittsburgh, PA 15224-2156
Phone (412) 578-3951
Other practice location 1
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-5815
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Howard University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4815 Liberty Ave
Suite GR50
Pittsburgh, PA 15224-2156
Phone (412) 578-1212
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD473041 | PA | MD | Obstetrics & Gynecology Physician |
| 0116030501 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Obstetrics & Gynecology | Current | Accepting new patients |
| Allegheny Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| West Penn Allegheny Health System Inc | Past | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
2315 Myrtle St
Ste G30
Erie, PA 16502
Phone (814) 452-5504
6321 State Route 30
Greensburg, PA 15601
Phone (412) 858-7088
575 Coal Valley Rd
Ste 301
Jefferson Hills, PA 15025
Phone (412) 359-6444
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
122 Gallery Dr
Mc Murray, PA 15317
Phone (412) 283-0110
3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213
147 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 942-1085
651 Holiday Dr
Pittsburgh, PA 15220
Phone (412) 922-8490
4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212
4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030
4815 Liberty Ave
Ste GR50
Pittsburgh, PA 15224
Phone (412) 578-1212
300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000
12311 Perry Hwy
Fl 3
Wexford, PA 15090
Phone (878) 332-4149
Interoperability endpoints
- cproctor926646@direct.ahn.org
Organizations & group practices 9
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.
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- Family Medicine Physician
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- Obstetrics & Gynecology Physician
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- NPI 1508853029
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- NPI 1134187834
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1982137097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE GR50",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-578-3951",
"fax_number": "412-578-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE GR50",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-578-3951",
"fax_number": "412-578-1587"
}
],
"practiceLocations": [
{
"address_1": "3600 Forbes Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152133410",
"country_code": "US",
"telephone_number": "412-647-5815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCTOR",
"first_name": "CARMEN",
"middle_name": "DIANA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0116030501",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD473041",
"primary": true
}
],
"identifiers": [],
"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 Jun 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.