MEDICARE: ALLEGHENY CLINIC

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	207RC0000X	Cardiovascular Disease Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1699529321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY CLINIC

Provider Business Mailing Address
First Line	:	490 E NORTH AVE STE 430
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4740
Country	:	US
Telephone Number	:	412-359-6656
Fax Number	:	412-359-6653

Provider Business Practice Location Address
First Line	:	490 E NORTH AVE STE 430
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4740
Country	:	US
Telephone Number	:	412-359-6656
Fax Number	:	412-359-6653

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT SPECIALIST
Name	:	ELISE SCHUETZ
Credential	:
Telephone Number	:	412-330-6060

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	05/26/2026

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Practice Location Address:

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Directions to “ALLEGHENY CLINIC ” Practice Location

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