SUBURBAN EAST MEDICAL CENTER UPMC
NPI 1649306796
Internal Medicine in Pittsburgh, PA
NPI Status: Active since February 25, 2007
Contact Information
3436 WILLIAM PENN HWY
SUITE 166 PENN CENTER BUILDING 2
PITTSBURGH, PA
ZIP 15235
Phone: (412) 823-6222
- Organization
- Internal Medicine
- CLIA Number: 39D0994611
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2025
About SUBURBAN EAST MEDICAL CENTER UPMC
This page provides the complete NPI Profile along with additional information for Suburban East Medical Center Upmc, an internist established in Pittsburgh, Pennsylvania operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1649306796 assigned on February 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Suburban East Medical Center Upmc. The authorized official of this NPI record is Mark Ehalt (Director)
- NPI
- 1649306796
- Provider Legal Name
- UPMC COMMUNITY MEDICINE INC
- Other Organization Name
- SUBURBAN EAST MEDICAL CENTER UPMC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3436 WILLIAM PENN HWY SUITE 166 PENN CENTER BUILDING 2 PITTSBURGH, PA 15235
- Location Phone
- (412) 823-6222
- Mailing Address
- 3436 WILLIAM PENN HWY SUITE 166 PENN CENTER BUILDING 2 PITTSBURGH, PA 15235
- Mailing Phone
- (412) 823-6222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2007
- Last Update Date
- 11-09-2007
- Code Navigator
An internist like Suburban East Medical Center Upmc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 |
|---|---|---|---|
| 042490 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | |
| 042490 | MEDICARE PIN (08) | 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
- 39D0994611
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 2023
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- DR. CAILYN DHAEM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Suburban East Medical Center Upmc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 6 | 4 | 9 | 3 | 0 | 6 | 7 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 6 | 0 | 12 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 6 + 0 + 1 + 2 + 7 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1649306796 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043282460 | DR. CAROL H AZAR MD Individual | Specialist | 3436 WILLIAM PENN HWY BUILDING 2, SUITE 166 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1154394781 | DR. RICHARD K GONGLOFF MD Individual | Specialist | 3436 WILLIAM PENN HWY BUILDING 2, SUITE 166 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1407985674 | UNIVERSITY OF PITTSBURGH PHYSICIANS Organization | Internal Medicine | 3436 WILLIAM PENN HWY SUITE 166 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1225170368 | UPMC COMMUNITY MEDICINE INC Organization | Non-Pharmacy Dispensing Site | 3436 WILLIAM PENN HWY SUITE 166 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1023082310 | CARISSA KATZ Individual | Specialist | 3436 WILLIAM PENN HWY BUILDING 2, SUITE 166 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1063487338 | TRACY SEEWALD Individual | Internal Medicine | 3436 WILLIAM PENN HWY BUILDING 2 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1821382292 | ADAM CHASIN Individual | Family Medicine | 3436 WILLIAM PENN HWY PENN CENTER BLDGE#2 PITTSBURGH, PA 15235 (412) 823-6222 |
| 1710354071 | MS. STEPHANIE LYNN LUBIN ROCCA CRNP Individual | Nurse Practitioner (Family) | 3436 WILLIAM PENN HWY PITTSBURGH, PA 15235 (412) 823-6222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649306796, enumerated in the NPI registry as an "organization" on February 25, 2007
The provider is located at 3436 William Penn Hwy Suite 166 Penn Center Building 2 Pittsburgh, Pa 15235 and the phone number is (412) 823-6222
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
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 39D0994611 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 25, 2007. 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].
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