PENN PEDIATRICS
NPI 1629042536
Pediatrics - Adolescent Medicine in Monroeville, PA

NPI Status: Active since February 15, 2006

Contact Information

2550 MOSSIDE BLVD
SUITE111
MONROEVILLE, PA
ZIP 15146
Phone: (412) 856-5437
Fax: (412) 856-0805

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
Adolescent Medicine
CLIA Number: 39D1050469
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 02-02-2026

About PENN PEDIATRICS

This page provides the complete NPI Profile along with additional information for Penn Pediatrics, a pediatrician established in Monroeville, Pennsylvania operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1629042536 assigned on February 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sugandhi Reddy Md (President)

NPI: 1629042536
Provider Name: PENN PEDIATRICS
Entity Type: Organization
Location Address: 2550 MOSSIDE BLVD SUITE111 MONROEVILLE, PA 15146
Location Phone: (412) 856-5437
Location Fax: (412) 856-0805
Mailing Address: 2550 MOSSIDE BLVD SUITE111 MONROEVILLE, PA 15146
Mailing Phone: (412) 856-5437
Mailing Fax: (412) 856-0805
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-15-2006
Last Update Date: 08-22-2020
Code Navigator

A pediatrician like Penn Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Adolescent Medicine
Taxonomy Code: 2080A0000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SUGANDHI REDDY MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (412) 856-5437

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 39D1050469
Facility Type: Physician Office
Certificate Effective Date: February 03, 2024
Certificate Expiration Date: February 02, 2026
Laboratory Director: SUGANDHI REDDY MD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Penn Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	2	9	0	4	2	5	3	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	4	9	0	4	4	5	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 4 + 4 + 5 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1629042536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. EDWIN QUIETSON RAVANO MD

Internal Medicine

2550 MOSSIDE BLVD
MONROEVILLE, PA
ZIP 15146

About PENN PEDIATRICS

Location Map

Specialty - Primary Taxonomy

Pediatrics Adolescent Medicine

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

SUGANDHI REDDY MD

CLIA Information

Reviews for PENN PEDIATRICS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is PENN PEDIATRICS's NPI number?

Where is the provider located?

What is the provider's specialty?