Individual provider Active NPI

Ryan Kruk, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1093185548
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057562 Issued in PA
Practice address
4516 Browns Hill Rd
Pittsburgh, PA 15217-2917
Phone
(412) 422-7442
NPI assigned
Sep 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057562 PA Primary

Addresses

Primary practice location

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917

Mailing address

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917

Other practice location 1

103 Towne Square Way
Pittsburgh, PA 15227-3254
Phone (412) 422-7442

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
I20160701000058 PA Practitioner - Physician Assistant 3274833819 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057562PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Squirrel Hill Health Center CurrentSince May 17, 2016 Accepting new patients

Locations

103 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 422-7442

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

Interoperability endpoints

  • Direct secure messaging: ryan.kruk@direct.squirrelhillhealth.nextgenshare.com

Organizations & group practices 1

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1093185548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172917",
            "telephone_number": "412-422-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Towne Square Way",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152273254",
            "country_code": "US",
            "telephone_number": "412-422-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUK",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.