UPMC SHADYSIDE FAMILY HEALTH CENTER
NPI 1124088034
Clinic/Center - Health Service in Pittsburgh, PA
NPI Status: Active since March 24, 2006
Contact Information
5215 CENTRE AVE
PITTSBURGH, PA
ZIP 15232
Phone: (412) 623-2287
Fax: (412) 623-6629
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 39D0675090
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 06-30-2026
About UPMC SHADYSIDE FAMILY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Upmc Shadyside Family Health Center, a provider established in Pittsburgh, Pennsylvania operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1124088034 assigned on March 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Upmc Shadyside Family Health Center. The authorized official of this NPI record is Mark Ehalt (Sr. Director)
- NPI
- 1124088034
- Provider Legal Name
- COMMUNITY FAMILY HEALTH CENTERS INC
- Other Organization Name
- UPMC SHADYSIDE FAMILY HEALTH CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5215 CENTRE AVE PITTSBURGH, PA 15232
- Location Phone
- (412) 623-2287
- Location Fax
- (412) 623-6629
- Mailing Address
- 5215 CENTRE AVE PITTSBURGH, PA 15232
- Mailing Phone
- (412) 623-2287
- Mailing Fax
- (412) 623-6629
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-24-2006
- Last Update Date
- 05-08-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100773840 | MEDICAID (05) | PA | |
| 884154 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D0675090
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- July 01, 2024
- Certificate Expiration Date
- June 30, 2026
- Laboratory Director
- ALAN FINKELSTEIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Upmc Shadyside Family Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 8 | 8 | 0 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 8 | 16 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 8 + 1 + 6 + 0 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1124088034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518951888 | DR. TEIICHI TAKEDAI M.D. Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2287 |
| 1386635761 | JACQUELINE S WEAVER-AGOSTONI DO Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (612) 623-2287 |
| 1174596480 | BRUCE BLOCK MD Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2654 |
| 1407820434 | MARK ALLAN KNOX MD Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2654 |
| 1083679567 | MR. PHILLIP ARTHUR PHELPS LCSW Individual | Social Worker (Clinical) | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-6648 |
| 1851345532 | LAUREN D LOYA MD Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2287 |
| 1982731865 | MR. HAJIME KOJIMA M.D. Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2287 |
| 1013188432 | UNIVERSITY OF PITTSBURGH PHYSICIANS Organization | Internal Medicine | 5215 CENTRE AVE FIRST FLOOR PITTSBURGH, PA 15232 (412) 647-3087 |
| 1932370749 | KEIICHIRO NARUMOTO MD Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2287 |
| 1972753226 | RAMAKRISHNA PRASAD MD, MPH Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 263-2287 |
| 1528296696 | ALISSA M COHEN D.O. Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2561 |
| 1578792701 | JI YOUNG HUH M.D. Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2817 |
| 1245460302 | NOBUTAKA HIROOKA M.D Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2287 |
| 1316241318 | UPMC COMMUNITY MEDICINE INC Organization | Internal Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-6200 |
| 1750677423 | TIMOTHY WONG M.D. Individual | Family Medicine | 5215 CENTRE AVE FAMILY HEALTH CENTER PITTSBURGH, PA 15232 (412) 623-2237 |
| 1962790782 | MRS. PATRICIA PETRALBA M.D. Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2237 |
| 1689921967 | AMANDA R SIMPSON PHARMD Individual | Pharmacist | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 864-7596 |
| 1255680146 | DANIELLE THERESA SAUNIER CRNP Individual | Nurse Practitioner (Acute Care) | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-7964 |
| 1992998793 | UPMC SHADYSIDE Organization | Non-Pharmacy Dispensing Site | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2561 |
| 1518939180 | BENJAMIN M SKINKER MD Individual | Family Medicine | 5215 CENTRE AVE PITTSBURGH, PA 15232 (412) 623-2287 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124088034, enumerated in the NPI registry as an "organization" on March 24, 2006
The provider is located at 5215 Centre Ave Pittsburgh, Pa 15232 and the phone number is (412) 623-2287
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 39D0675090 for a "ancillary testing site in health care center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.