Individual provider Active NPI

Kristopher Tkatch, DO

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1013413574
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
309620 Issued in NY
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-4905
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 309620 NY Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

2211 Sarah St Apt 1
Pittsburgh, PA 15203-2224
Phone (330) 565-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210611001775 NY Practitioner - Emergency Medicine 6800134461 Reassigns benefits to 3 organizations
I20251013003003 PA Practitioner - Emergency Medicine 6800134461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corning HospitalGroup PAC ID 9133031925, 42 clinicians
Robert Packer HospitalGroup PAC ID 8022915180, shared by 5 NPIs, 53 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 937-7200

1 Guthrie SQ
Suite B
Sayre, PA 18840-1625
Phone (570) 888-6666

91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 265-2191

Hospital & facility affiliations

  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Packer Hospital CurrentSince Jul 18, 2025 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Corning Hospital Emergency Medicine CurrentSince Mar 15, 2025 Accepting new patients
Troy Community Hospital Incorporated CurrentSince Jul 18, 2025 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Robert Packer Hospital CurrentSince Jul 18, 2025 Accepting new patients
Corning Hospital CurrentSince Mar 15, 2025 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Past Accepting new patients
Robert Packer Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1 Guthrie Sq
Ste B
Sayre, PA 18840
Phone (570) 888-6666

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121

Interoperability endpoints

  • Direct secure messaging: ktkatch216895@direct-guthrie.org
  • Direct secure messaging: ktkatch31921@mvhealthsystem.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1013413574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 SARAH ST APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032224",
            "telephone_number": "330-565-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKATCH",
        "first_name": "KRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "309620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.