MEDICARE: STEPHEN KELMINSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD058309L	PA
2	2085R0204X	Vascular & Interventional Radiology Physician	MD058309L	PA
3	2085R0204X	Vascular & Interventional Radiology Physician	ME142569	FL
4	2085R0202X	Diagnostic Radiology Physician	47945	KY
5	2085R0202X	Diagnostic Radiology Physician	036135446	IL
6	2085R0204X	Vascular & Interventional Radiology Physician	47945	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	300064301	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000456731	OTHER	PA	BC BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538167804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN KELMINSON MD

Provider Business Mailing Address
First Line	:	401 LIBERTY AVE STE 2000
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-1029
Country	:	US
Telephone Number	:	412-230-8200
Fax Number	:	412-202-8638

Provider Business Practice Location Address
First Line	:	401 LIBERTY AVE STE 2000
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15222
Country	:	US
Telephone Number	:	412-230-8200
Fax Number	:	412-202-8638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	03/02/2026

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Directions to “ STEPHEN KELMINSON MD” Practice Location

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