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DR. MONISHA MEDHI
NPI 1104016096
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pittsburgh, PA

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
9104 BABCOCK BLVD STE 1106, PITTSBURGH, PA 15237(724) 933-0155(724) 933-0833 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Oct 25, 2022 (2 updates tracked since 2022).

About Dr. Monisha Medhi NPPES

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

DR. MONISHA MEDHI (NPI 1104016096) is an individual endocrinology, diabetes & metabolism provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD428279) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1104016096
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MONISHA MEDHI
Location Address9104 BABCOCK BLVD STE 1106Pittsburgh, PA 15237-5818
Mailing Address9104 Babcock Blvd Ste 1106Pittsburgh, PA 15237-5818 · (724) 933-0155 · Fax (724) 933-0833
Phone(724) 933-0155
Fax(724) 933-0833
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 27, 2007
Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
✔ NPI 1104016096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD428279
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD428279 (PA)
9104 BABCOCK BLVD STE 1106, Pittsburgh, PA 15237
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Other Identifiers 1

Medicaid149037001AR

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

Dr. Monisha Medhi 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 ID1456405919
PECOS Enrollment IDI20090818000345
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 2

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.

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.
245 services218 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
55 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Reported Quality Measures

Screening for Osteoporosis for Women Aged 65-85 Years of Age
41%170 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers34 claims429 services$18.70 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers34 claims1,148 services$2.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers74 claims261 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims27 services$1.09 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers19 claims2,460 services$6.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
19 suppliers362 claims362 services$188.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

CHARITY KWAMANAKWEENDA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9104 BABCOCK BLVD STE 1106
PITTSBURGH, PA 15237
Allegheny County (412) 586-9700
DR. SANDHYA VENKATARAMAN D.O
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9104 BABCOCK BLVD STE 1106
PITTSBURGH, PA 15237
Allegheny County (412) 586-9700
JAEYOUNG LEE MD
Internal Medicine
9104 BABCOCK BLVD STE 1106, SUITE 1106
PITTSBURGH, PA 15237
Allegheny County (412) 366-8641

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 Monisha Medhi's NPI number?

The NPI number for Monisha Medhi is 1104016096. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Monisha Medhi located?

Monisha Medhi practices at 9104 Babcock Blvd Ste 1106, Pittsburgh, PA 15237. The listed phone number is (724) 933-0155.

What is Monisha Medhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Monisha Medhi enrolled in Medicare?

Yes. Monisha Medhi 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.

Is Monisha Medhi affiliated with any hospitals?

According to CMS data, Monisha Medhi is affiliated with Upmc Jameson, Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Monisha Medhi was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.