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NPI 1790417020ActiveIndividual· Medical Genetics, Clinical Genetics (M.D.)· Pittsburgh, PA

Medical Genetics, Clinical Genetics (M.D.) in Pittsburgh, Pennsylvania, licensed in PA, with an NPI issued in June 2022.

Overview

NPI1790417020
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 27, 2022
Last updated in NPPESOct 25, 2026
Certified by providerOct 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Medical Genetics, Clinical Genetics (M.D.) Primary207SG0201XMD494415PA
Pediatrics208000000XMD494415PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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