Individual provider Active NPI

Vicki Hawrylak De Carrasco, PA

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1043265291
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001983L Issued in PA
Practice address
4815 Liberty Avenue
Suite 310
Pittsburgh, PA 15224-2156
Phone
(412) 578-1116
Fax
(412) 605-6396
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA001983L PA
Medical Physician Assistant 363AM0700X MA001983L PA Primary

Addresses

Primary practice location

4815 Liberty Avenue
Suite 310
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Avenue
Suite 310
Pittsburgh, PA 15224-2156
Phone (412) 578-1116

Other practice location 1

2 Hot Metal St
ERMI Quantum One
Pittsburgh, PA 15203-2348
Phone (412) 432-7424

Other practice location 2

5115 Centre Ave
Pittsburgh, PA 15232-1301
Phone (412) 235-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000099 PA Practitioner - Physician Assistant 8527034735 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

5115 Centre Ave
FL 3
Pittsburgh, PA 15232-1301
Phone (412) 235-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA001983LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Association CurrentSince Aug 18, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 18, 2025 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jun 12, 2005 Accepting new patients
Valley Medical Facilities Inc CurrentSince Jun 12, 2005 Accepting new patients
St Clair Medical Services Inc CurrentSince Oct 28, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 18, 2025 Accepting new patients
Allegheny Clinic PastSince Apr 27, 2026 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2000 Oxford Dr
Ste 100
Bethel Park, PA 15102
Phone (412) 831-1522

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

5115 Centre Ave
Pittsburgh, PA 15232
Phone (412) 235-1020

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1043265291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVENUE",
            "address_2": "SUITE 310",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-1116",
            "fax_number": "412-605-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVENUE",
            "address_2": "SUITE 310",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-1116",
            "fax_number": "412-605-6396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hot Metal St",
            "address_2": "ERMI Quantum One",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152032348",
            "country_code": "US",
            "telephone_number": "412-432-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5115 Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321301",
            "country_code": "US",
            "telephone_number": "412-235-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE CARRASCO",
        "first_name": "VICKI",
        "middle_name": "HAWRYLAK",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001983L",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001983L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.