Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Vattathara Polson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417539248

David Vattathara Polson, MD is a Family Practice in Pittsburgh, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Renaissance Family Practice-Upmc, Inc, a 44-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Sheridan St
Pittsburgh, PA 15209-2638
Phone: (412) 821-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Sheridan St, Pittsburgh, PA 15209-2638 — (412) 821-2277

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD486230 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417539248
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Renaissance Family Practice-Upmc, Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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