AWAD A EL-MAGBRI MD
NPI 1740281153
Internal Medicine in Pittsburgh, PA
NPI Status: Active since August 09, 2005
Contact Information
5171 LIBERTY AVE
PITTSBURGH, PA
ZIP 15224
Phone: (412) 683-4550
Fax: (180) 088-6870
- Individual
- Male
- Years of Experience 45
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About AWAD EL-MAGBRI
This page provides the complete NPI Profile along with additional information for Awad El-magbri, an internist established in Pittsburgh, Pennsylvania with a medical specialization in Internal Medicine and more than 45 years of experience. The healthcare provider is registered in the NPI registry with number 1740281153 assigned on August 2005. The practitioner's primary taxonomy code is 207R00000X with license number 036113447 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1740281153
- Provider Name
- AWAD A EL-MAGBRI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5171 LIBERTY AVE PITTSBURGH, PA 15224
- Location Phone
- (412) 683-4550
- Location Fax
- (180) 088-6870
- Mailing Address
- 501 RIVERFRONT DR APT.# 3106 PITTSBURGH, PA 15238
- Mailing Phone
- (412) 406-7267
- Mailing Fax
- (180) 088-6870
- Medical School Name
- OTHER
- Graduation Year
- 1981
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-09-2005
- Last Update Date
- 11-17-2022
- Code Navigator
An internist like Awad El-magbri 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
- License No.
- 036113447
- License State
- IL
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
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.
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 |
---|---|---|---|
1616108 | OTHER (01) | IL | BCBS |
Medicare Participation & PECOS Enrollment Status
Awad El-magbri is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Awad El-magbri is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7911976741
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20211111001042
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood test, comprehensive group of blood chemicals
Complete blood cell count (red cells, white blood cell, platelets), automated test
Dialysis services, 4 or more physician visits per month (20 years or older)
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Established patient office or other outpatient visit, 40-54 minutes
Fluoroscopic guidance for insertion or removal of central vein access device
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hemodialysis procedure with physician evaluation
Initial hospital inpatient care per day, typically 70 minutes
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Insertion of needle into vein for collection of blood sample
Insertion of tunneled central venous tube for infusion (5 years or older)
Kidney function blood test panel
Manual urinalysis test with examination using microscope, automated
New patient office or other outpatient visit, 60-74 minutes
New patient office or other outpatient visit, 60-74 minutes
Phosphate level
Removal of tunneled central venous tube
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 12 times for 11 patientsA complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
This service was performed 69 times for 54 patientsDialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
This service was performed 32 times for 11 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 36 times for 31 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 38 times for 36 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 40 times for 35 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 24 times for 23 patientsFluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
This service was performed 14 times for 12 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 43 times for 29 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 356 times for 105 patientsHemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
This service was performed 101 times for 48 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 80 times for 68 patientsThis procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
This service was performed 16 times for 14 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 83 times for 61 patientsThe insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
This service was performed 11 times for 11 patientsA kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
This service was performed 57 times for 49 patientsA manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
This service was performed 42 times for 41 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 22 times for 22 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 29 times for 29 patientsA phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.
This service was performed 12 times for 11 patientsA tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
This service was performed 15 times for 14 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 27 times for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $24.2 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15224 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
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Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Awad El-magbri is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MARSHFIELD MEDICAL CENTER | 611 ST JOSEPH AVE MARSHFIELD, WI 54449 | (715) 387-1713 | Acute Care Hospitals | |
MARSHFIELD MEDICAL CENTER - WESTON | 3400 MINISTRY PARKWAY WESTON, WI 54476 | (715) 393-3000 | Acute Care Hospitals | |
MARSHFIELD MEDICAL CENTER - MINOCQUA | 9576 HIGHWAY 70 MINOCQUA, WI 54548 | (715) 358-1710 | Acute Care Hospitals |
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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 | 7 | 4 | 0 | 2 | 8 | 1 | 1 | 5 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 8 | 0 | 4 | 8 | 2 | 1 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 8 + 0 + 4 + 8 + 2 + 1 + 1 + 0 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1740281153 is valid because the calculated check digit 3 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 |
---|---|---|---|
1235151465 | JESSICA TURKA PA-C Individual | Physician Assistant (Medical) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1467475681 | SUSAN STEINER CRNP Individual | Nurse Practitioner | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1205924115 | MARLENE I. SPERL CRNP Individual | Nurse Practitioner | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1780827386 | TOTAL RENAL CARE INC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 5171 LIBERTY AVE STE A PITTSBURGH, PA 15224 (412) 605-0415 |
1063400208 | DR. WILLIAM S MUSSER MD Individual | Psychiatry & Neurology (Neurology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-2414 |
1619103348 | WILLIAM S MUSSER MD PC Organization | Psychiatry & Neurology (Neurology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-2414 |
1376565598 | BRENDA OFFORD PA-C Individual | Physician Assistant (Medical) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1023421799 | RENAL ENDOCRINE ASSOCIATES Organization | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1982637930 | PARTNERS IN NEPHROLOGY AND ENDOCRINOLOGY, PC Organization | Specialist | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 638-4550 |
1225180037 | KELLI LOGUE PA Individual | Physician Assistant (Medical) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1316970353 | UMA M KANNAPADI MD Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1306879374 | ALEXANDER TAL MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1235155078 | DAVID J LEVENSON MD Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1578581427 | JOSEPH LIPUT M.D. Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1033137542 | NANGALI S SRINIVASA MD Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1568481794 | AARON KULICK M.D. Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1407878887 | JAMES WEISS M.D. Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1578581930 | DAVID R HAKAS MD Individual | Internal Medicine (Nephrology) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1699009191 | MS. ROBIN GARVIN CRNP Individual | Nurse Practitioner (Adult Health) | 5171 LIBERTY AVE PITTSBURGH, PA 15224 (412) 683-4550 |
1265778716 | PITTSBURGH DIALYSIS PARTNERS LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 5171 LIBERTY AVE STE A PITTSBURGH, PA 15224 (412) 605-0415 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740281153, enumerated in the NPI registry as an "individual" on August 09, 2005
The provider is located at 5171 Liberty Ave Pittsburgh, Pa 15224 and the phone number is (412) 683-4550
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 45 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.34 with an average copayment of $31.58 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Blood test, comprehensive group of blood chemicals, Complete blood cell count (red cells, white blood cell, platelets), automated test, Dialysis services, 4 or more physician visits per month (20 years or older), Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Established patient office or other outpatient visit, 40-54 minutes, Fluoroscopic guidance for insertion or removal of central vein access device, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hemodialysis procedure with physician evaluation, Initial hospital inpatient care per day, typically 70 minutes, Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, Insertion of needle into vein for collection of blood sample, Insertion of tunneled central venous tube for infusion (5 years or older), Kidney function blood test panel, Manual urinalysis test with examination using microscope, automated, New patient office or other outpatient visit, 60-74 minutes, New patient office or other outpatient visit, 60-74 minutes, Phosphate level, Removal of tunneled central venous tube and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
The practitioner is affiliated to the following hospital(s): MARSHFIELD MEDICAL CENTER, MARSHFIELD MEDICAL CENTER - WESTON and MARSHFIELD MEDICAL CENTER - MINOCQUA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 09, 2005. 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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