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UPMC PRESBYTERIAN SHADYSIDE
NPI 1053471656
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pittsburgh, PA

Active since December 12, 2006CLIA Certified · 2 labs
200 LOTHROP ST, PITTSBURGH, PA 15213(412) 432-5500 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Upmc Presbyterian Shadyside NPPES

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

UPMC PRESBYTERIAN SHADYSIDE (NPI 1053471656) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pittsburgh, Pennsylvania and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Jared Weiner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053471656
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameUPMC PRESBYTERIAN SHADYSIDE
Location Address200 LOTHROP STPittsburgh, PA 15213-2536
Mailing AddressPo Box 382007Pittsburgh, PA 15251-8007 · (412) 432-5500
Phone(412) 432-5500
Organization SubpartNo
Authorized OfficialJared WeinerCfo · (412) 864-7000
Enumeration DateDecember 12, 2006
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1053471656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
200 LOTHROP ST, Pittsburgh, PA 15213
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Other Identifiers 3

Other0013PA · Puh Renal Number
Other1000019040151PA · Ion Healthcare Number
Other98138PA · Chronic Renal Number

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upmc Presbyterian Shadyside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20030103000021Part A · End-Stage Renal Disease Facility (ESRD)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 39D2200337

Upmc Presbyterian Stat Lab · Pittsburgh, PA
Active · expires Nov 2, 2027
CLIA Number39D2200337
Laboratory TypeHospital
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorDr. Octavia M. Peck Palmer
Laboratory Phone(412) 578-9489
Laboratory LocationUpmc Presbyterian Stat Lab200 Lothrop Street, Room E2005, Pittsburgh, PA 15213
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 39D0913956

Upmc Presbyterian Poc Testing · Pittsburgh, PA
Active · expires Mar 3, 2027
CLIA Number39D0913956
Laboratory TypeHospital
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorDr. Harry C. Blair
Laboratory Phone(412) 647-0264
Laboratory LocationUpmc Presbyterian Poc Testing200 Lothrop Street, Pittsburgh, PA 15213
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for UPMC Presbyterian Renal Unit (CMS certification number 392327), from CMS Care Compare.

UPMC Presbyterian Renal Unit

Dialysis facility · Pittsburgh, PA
OwnershipNon-profit
ChainUPMC Health System
CMS Certification Number392327
ESRD NetworkNetwork 4
Hemodialysis Stations18
Medicare-Certified SinceJune 3, 2004
Location200 Lothrop Street Renal Unit, 11th flr, Suite F1141.2Pittsburgh, PA 15213 · Allegheny County
Phone(412) 647-3114
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

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.

CHELSIE DAHL
Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-5909
OTHMAN MOHAMED-ASEM ABDUL-MALAK
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAITLEN MORGAN
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
UTPAL JHA M.D.
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 530-6274
RACHEL IVY FRICK
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6017
ARTUR ZGUROV MD
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAREN KAIJIE XU MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
SAM ALLEN MICHELHAUGH MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 770-4949

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 Upmc Presbyterian Shadyside's NPI number?

The NPI number for Upmc Presbyterian Shadyside is 1053471656. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Upmc Presbyterian Shadyside located?

Upmc Presbyterian Shadyside is located at 200 Lothrop St, Pittsburgh, PA 15213. The listed phone number is (412) 432-5500.

What is Upmc Presbyterian Shadyside's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Upmc Presbyterian Shadyside enrolled in Medicare?

Yes. Upmc Presbyterian Shadyside is registered in the Medicare PECOS enrollment system.

When is Upmc Presbyterian Shadyside's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Upmc Presbyterian Shadyside hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Upmc Presbyterian Shadyside a Medicare-certified dialysis facility?

Yes. UPMC Presbyterian Renal Unit is a Medicare-certified dialysis facility, certified since June 3, 2004.

When was this NPI record last updated?

The NPPES record for Upmc Presbyterian Shadyside was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.