Active NPI
Karl Edward Bushman, M.D.
- Internal Medicine Physician
- Bethel Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD047499L
- Practice address
- 2000 Oxford Dr
420
Bethel Park, PA 15102-1827 - Phone
- (412) 942-8500
- Fax
- (412) 942-8519
- NPI assigned
- Aug 22, 2005
- Last updated
- Mar 4, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD047499L | PA | Primary |
Addresses
Primary practice location
2000 Oxford Dr
420
Bethel Park, PA 15102-1827
Mailing address
1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 924-2548
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Pamalyn.Patnesky@stclair.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MD047499L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clair Medical Services, Inc | Current | Accepting new patients | |
| St Clair Medical Services, Inc. | Internal Medicine | Current | Accepting new patients |
| St Clair Medical Services Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| St Clair Hospital Upmc Cancer Center Petct | Past | Accepting new patients |
Locations
2000 Oxford Dr
Ste 420
Bethel Park, PA 15102
Phone (412) 279-5372
1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600
1000 Bower Hill Rd
Fl 4
Pittsburgh, PA 15243
300 Cedar Blvd
Pittsburgh, PA 15228
Phone (412) 561-1484
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Clair Hospital | Hospital | Corporate Director | Dec 8, 2014 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital Unit
- Pittsburgh, PA
- NPI 1487755112
Corporate Director
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Clair Medical Group Psychiatry
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1467485565
Internal Medicine
-
dba St. Clair Medical Group Otolaryngology
- Otolaryngology Physician
- Bethel Park, PA
- NPI 1659224715
-
dba St Clair Osteoporosis Center
- Radiology Clinic/Center
- Bethel Park, PA
- NPI 1003077744
-
dba Integrated PET CT Services
- Radiology Clinic/Center
- Pittsburgh, PA
- NPI 1699708792
-
dba Windber Medical Center
- 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": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1982696308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BOWER HILL ROAD",
"address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431873",
"telephone_number": "412-924-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OXFORD DR",
"address_2": "420",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151021827",
"telephone_number": "412-942-8500",
"fax_number": "412-942-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHMAN",
"first_name": "KARL",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD047499L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Pamalyn.Patnesky@stclair.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
"address_1": "2000 Oxford Dr",
"address_2": "420",
"city": "Bethel Park",
"state": "PA",
"country_code": "US",
"postal_code": "151021827",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.