NPS PHYSICIANS PITTSBURGH, LLC (NPI# 1679137517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679137517 |
| Entity Type | Organization |
| Organization Name | NPS PHYSICIANS PITTSBURGH, LLC |
| Practice Address |
5171 Liberty Ave Pittsburgh PA 15224-2254 |
| Mailing Address |
1840 E Ray Rd Chandler AZ 85225-8720 |
| Practice Telephone | 8553970197 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DR. ROBERT PROVENZANO (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7206312144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
5171 LIBERTY AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281153 | Awad A El-magbri | Internal Medicine | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2005-08-09 |
| 1396225629 | Cassandra Tonkinson | Nurse Practitioner | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2018-08-16 |
| 1609301894 | Julie Marie Sandifer | Nurse Practitioner | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2017-04-25 |
| 1023421799 | Renal Endocrine Associates | Internal Medicine | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2014-06-10 |
| 1265778716 | Pittsburgh Dialysis Partners LLC | Clinic/Center | 5171 Liberty Ave, Ste A, Pittsburgh, PA 15224-2254 | 2013-01-02 |
| 1699009191 | Robin Garvin | Nurse Practitioner | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2009-09-30 |
| 1619103348 | William S Musser Md PC | Psychiatry & Neurology | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2009-06-09 |
| 1780827386 | Total Renal Care Inc | Clinic/Center | 5171 Liberty Ave, Ste A, Pittsburgh, PA 15224-2254 | 2009-04-13 |
| 1982868279 | Ranil Nishan Desilva | Internal Medicine | 5171 Liberty Ave, Pittsburgh, PA 15224-2254 | 2008-07-15 |
| 1174795447 | Pittsburgh Dialysis Partners LLC | Clinic/Center | 5171 Liberty Ave, Ste C, Pittsburgh, PA 15224-2254 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1497177323 | Yan Dorneich | Internal Medicine | 120 Lylton Ave, Ste 300, Upmc Kidney Clinic, Pittsburgh, PA 15213 | 2014-01-12 |
| 1043449069 | Pradeep Dhakarwal | Internal Medicine | 1735 E Carson St, Ste 340, Pittsburgh, PA 15203-1705 | 2009-07-12 |
| 1417175910 | Fadi George Lakkis | Internal Medicine | W1548 Biomedical Science Tower, 200 Lothrop Street, Pittsburgh, PA 15261-0001 | 2007-04-23 |
| 1336247105 | Steven Darrow Weisbord | Internal Medicine | 111 F-u, Va Pittsburg Healthcare System University Dr, Pittsburgh, PA 15240 | 2006-09-20 |
| 1326058553 | University of Pittsburgh Physicians | Internal Medicine | 3550 Terrace Street Scaife Hall Suite A919, Pittsburgh, PA 15261-2536 | 2006-08-09 |
| 1770518763 | Paul Marc Palevsky | Internal Medicine | University Drive Division, Va Pittsburgh Healthcare System, Pittsburgh, PA 15240 | 2006-07-11 |
| 1649256926 | Angelo Daniel Lupariello | Internal Medicine | 4564 Penn Ave, Pittsburgh, PA 15224-1314 | 2005-12-19 |
| 1760468037 | Advanced Kidney Care Medical Associates, P.C. | Internal Medicine | 4564 Penn Avenue, Pittsburgh, PA 15224 | 2005-12-19 |
| 1740278845 | Nitin Muralidhar Kamat | Internal Medicine | 3459 5th Ave, Pittsburgh, PA 15213-3236 | 2005-10-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.