DR. ANDREW NOWALK MD PHD
NPI 1285609651
Pediatrics - Pediatric Infectious Diseases in Pittsburgh, PA

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
4401 PENN AVENUE, AOB 5404, PITTSBURGH, PA 15224(412) 692-5135(412) 692-7016 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2021, Jun 15, 2021, May 26, 2021 (3 updates tracked since 2021).

About Dr. Andrew Nowalk Md Phd NPPES

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

DR. ANDREW NOWALK MD PHD (NPI 1285609651) is an individual pediatric infectious diseases provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD418024) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1999).

NPPES Registry Identity

NPI1285609651
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. ANDREW NOWALKCredential: MD PHD
Location Address4401 PENN AVENUE, AOB 5404Pittsburgh, PA 15224
Mailing Address3705 5th Ave, Room 4b480Pittsburgh, PA 15213-2584
Fax(412) 692-7016
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1999
Enumeration DateFebruary 21, 2006
Last NPPES UpdateApril 20, 20233 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1285609651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in PA · MD418024
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
4401 PENN AVENUE, Pittsburgh, PA 15224

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Nowalk Md Phd 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 ID4880747906
PECOS Enrollment IDI20090806000247
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Nowalk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Multi-Specialty
200 EAST UNIVERSITY AVE
St. Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Gillette Childrens Specialty Healthcare
  • 304 clinicians in this Medicare group
Multi-Specialty
37100 N GANTZEL RD STE 214
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

Student in an Organized Health Care Education/Training Program
4401 PENN AVENUE
PITTSBURGH, PA 15224
Genetic Counselor, MS
4401 PENN AVENUE, CHL 03-05-01
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVENUE
PITTSBURGH, PA 15224
Nurse Practitioner (Pediatrics)
4401 PENN AVENUE, CHILDREN'S HOSPITAL OF PITTSBURGH
PITTSBURGH, PA 15224
Genetic Counselor, MS
4401 PENN AVENUE, AOB SUITE 1300, RM 1308
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVENUE
PITTSBURGH, PA 15224
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4401 PENN AVENUE, 5TH FL. FACULTY PAVILION
PGH, PA 15224
Pediatrics
4401 PENN AVENUE, 5TH FLOOR FACULTY PAVILON
PITTSBURGH, PA 15224

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 Andrew Nowalk's NPI number?

The NPI number for Andrew Nowalk is 1285609651. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Andrew Nowalk located?

Andrew Nowalk practices at 4401 Penn Avenue Aob 5404, Pittsburgh, PA 15224. The listed phone number is (412) 692-5135.

What is Andrew Nowalk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Andrew Nowalk enrolled in Medicare?

Yes. Andrew Nowalk 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.

Which organizations bill Medicare for Andrew Nowalk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Nowalk reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Gillette Children's Specialty Healthcare (St. Paul, MN) and Banner Physician Super Specialists Arizona LLC (San Tan Valley, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Nowalk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Nowalk accept?

Health plans from Cigna Healthcare, HealthPartners and Oscar Health Plan, Inc. list Andrew Nowalk 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.

When was this NPI record last updated?

The NPPES record for Andrew Nowalk was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.