DAVID VATTATHARA POLSON MD
NPI 1417539248
Family Medicine in Pittsburgh, PA
About David Vattathara Polson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID VATTATHARA POLSON MD (NPI 1417539248) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD486230) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and maintains a secondary practice location in Pittsburgh.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
David Vattathara Polson Md 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.
Medicare Billing Reassignment
Medicare enrollment records show David Polson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsburgh, PA 15215
- Reassigned Medicare billing, Pennsylvania enrollment
- 90 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc St Margaret
Acute Care Hospitals · Pittsburgh, PAUpmc Passavant
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Polson's NPI number?
The NPI number for David Polson is 1417539248. It was assigned to this individual provider in the NPPES registry on April 21, 2021.
Where is David Polson located?
David Polson practices at 111 Sheridan St, Pittsburgh, PA 15209. The listed phone number is (412) 821-2277.
What is David Polson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Polson enrolled in Medicare?
Yes. David Polson 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 organization bills Medicare for David Polson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Polson reassigns Medicare benefits to Renaissance Family Practice-Upmc,inc (Pittsburgh, PA). The 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 David Polson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is David Polson affiliated with any hospitals?
According to CMS data, David Polson is affiliated with Upmc St Margaret and Upmc Passavant.
When was this NPI record last updated?
The NPPES record for David Polson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# David Vattathara Polson, MD · NPI 1417539248
Family Medicine physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 21, 2021.
## Identity
- **NPI:** 1417539248 (Entity type: Individual)
- **Enumerated:** April 21, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD486230 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 SHERIDAN ST, Pittsburgh, PA 15209-2638
- **Phone:** (412) 821-2277
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renaissance Family Practice-Upmc,inc (NPI 1639325061, Pittsburgh, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417539248) · Data from the CMS NPPES public registry.