DR. SAIRA VARGHESE MAMMEN M.D.
NPI 1437599958
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pittsburgh, PA

Q: What is Saira Varghese Mammen's NPI number?

The NPI number for Saira Varghese Mammen is 1437599958. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Q: What is Saira Varghese Mammen's specialty?

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

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

4815 LIBERTY AVE STE 215, PITTSBURGH, PA 15224(412) 578-5901(412) 578-5902 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 25, 2022, Oct 8, 2021, Nov 16, 2018 (3 updates tracked since 2018).

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About Dr. Saira Varghese Mammen M.d. NPPES

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

DR. SAIRA VARGHESE MAMMEN M.D. (NPI 1437599958) is an individual endocrinology, diabetes & metabolism provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476664) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437599958

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SAIRA VARGHESE MAMMENCredential: M.D.

Location Address4815 LIBERTY AVE STE 215Pittsburgh, PA 15224-2156

Mailing Address4815 Liberty Ave Ste 215Pittsburgh, PA 15224-2156 · (412) 578-5901 · Fax (412) 578-5902

Phone(412) 578-5901

Fax(412) 578-5902

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 28, 2013

Last NPPES UpdateApril 25, 20223 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1437599958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in PA · MD476664✔ Licensed in OH · 35.133645

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.

4815 LIBERTY AVE STE 215, Pittsburgh, PA 15224

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Secondary Practice Locations 2

Location 116761 Saint Clair Ave # 2East Liverpool, OH 43920-9400 · Phone (330) 385-9670 · Fax (330) 385-9672

Location 2425 W 5th StEast Liverpool, OH 43920-2405 · Phone (330) 386-2926 · Fax (330) 386-2928

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. Saira Varghese Mammen 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 ID2062644065

PECOS Enrollment IDI20220502002153

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.

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.

92 services66 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.

59 services42 patients

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.

57 services26 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.

37 services22 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.

33 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390266

Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County

Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390334

Location12351 Perry HighwayWexford, PA 15090 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

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

8 suppliers62 claims62 services$193.04 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 20

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

ALLEGHENY CLINIC

Surgery