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MR. ARBER FRAKULLI M.D.
NPI 1023631835
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
1515 LOCUST STREET, PITTSBURGH, PA 15219(412) 232-7800 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2022, May 27, 2020 (2 updates tracked since 2020).

About Mr. Arber Frakulli M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ARBER FRAKULLI M.D. (NPI 1023631835) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023631835
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ARBER FRAKULLICredential: M.D.
Location Address1515 LOCUST STREETPittsburgh, PA 15219
Mailing Address3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213
Phone(412) 232-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1023631835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1515 LOCUST STREET, Pittsburgh, PA 15219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Arber Frakulli M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052731536
PECOS Enrollment IDI20230809001079
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-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.
104 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
52 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-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.
42 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This 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.
40 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAQAS AHMED USMANI MD
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-7677
DUR E SHAHWAR M.D.
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-7677
ILANA W HULL MD
Internal Medicine (Addiction Medicine)
1515 LOCUST STREET, SUITE 233
PITTSBURGH, PA 15219
Allegheny County (412) 232-6275
DOLORES SANCHEZ MOREY M.D
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-4065
JOHNATHAN RICHARD MARCEL CLARKE M.B.B.S
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-7800
KHADEEJA RIAZ M.D
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-7677
AMERPREET KAUR BRAR M.D.
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET, FIRST FLOOR
PITTSBURGH, PA 15219
Allegheny County (412) 232-8411
MUSA KHAN BUNGISH MBBS
Student in an Organized Health Care Education/Training Program
1515 LOCUST STREET, UPMC MERCY COMMUNITY CARE BUILDING
PITTSBURGH, PA 15219
Allegheny County (412) 232-4065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arber Frakulli's NPI number?

The NPI number for Arber Frakulli is 1023631835. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Arber Frakulli located?

Arber Frakulli practices at 1515 Locust Street, Pittsburgh, PA 15219. The listed phone number is (412) 232-7800.

What is Arber Frakulli's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Arber Frakulli enrolled in Medicare?

Yes. Arber Frakulli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Arber Frakulli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Arber Frakulli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Arber Frakulli affiliated with any hospitals?

According to CMS data, Arber Frakulli is affiliated with Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Arber Frakulli was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.