Individual provider Active NPI

Joseph P Klutz, M.D.

  • Family Medicine Physician
  • Moon Township, PA
National Provider Identifier
1982620720
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD019484E Issued in PA
Practice address
993 Brodhead Rd
Moon Township, PA 15108-2331
Phone
(412) 264-1918
Fax
(412) 262-9114
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD019484E PA Primary

Addresses

Primary practice location

993 Brodhead Rd
Moon Township, PA 15108-2331

Mailing address

933 Brodhead Road
Moon Township, PA 15108
Phone (412) 264-1918

Other identifiers 1

IdentifierTypeStateIssuer
0008904220001MedicaidPA

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
I20100511000133 PA Practitioner - Family PracticePractitioner - Hospitalist 8628106770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD019484EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jan 25, 2017 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jan 25, 2017 Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1982620720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRODHEAD ROAD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-264-1918",
            "fax_number": "412-749-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BRODHEAD RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082331",
            "telephone_number": "412-264-1918",
            "fax_number": "412-262-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTZ",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD019484E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008904220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.