Healthcare Provider Details

I. General information

NPI: 1396726949
Provider Name (Legal Business Name): PITTSBURGH NEPHROLOGY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DELAFIELD RD SUITE 212
PITTSBURGH PA
15215-3247
US

IV. Provider business mailing address

100 DELAFIELD RD SUITE 212
PITTSBURGH PA
15215-3247
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-5144
  • Fax: 412-784-5203
Mailing address:
  • Phone: 412-784-5144
  • Fax: 412-784-5203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: DR. ADRIANA MICHAEL SELVAGGIO
Title or Position: PRESIDENT
Credential: M. D.
Phone: 412-784-5144