Individual provider Active NPI

Carmen Diana Proctor, MD

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
National Provider Identifier
1982137097
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD473041 Issued in PA
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

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520001700 PA Practitioner - Obstetrics/Gynecology 1153691423 Reassigns benefits to 2 organizations

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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
MD473041PAMDObstetrics & Gynecology Physician
0116030501VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
University of Pittsburgh Physicians Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Allegheny Clinic Obstetrics & Gynecology Current Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.