Individual provider Active NPI

Jacob Zachary Deberry, M.D.

  • Internal Medicine Physician
  • Butler, PA
National Provider Identifier
1114584141
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD477835 Issued in PA
Practice address
389 New Castle Rd
Butler, PA 16001-1743
Phone
(833) 906-0108
Fax
(724) 282-1861
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD477835 PA Primary

Addresses

Primary practice location

389 New Castle Rd
Butler, PA 16001-1743

Mailing address

3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213

Other practice location 1

3459 5th Ave # Nw628
Pittsburgh, PA 15213-3236
Phone (412) 692-2212

Other practice location 2

675 N Broad Street Ext Ste 3
Grove City, PA 16127-5805
Phone (833) 906-0108

Other practice location 3

330 N Point Dr Ste 301
Clarion, PA 16214-3873
Phone (833) 906-0108

Other practice location 4

200 Lothrop Street
Office of Education N715 Department of Medicine
Pittsburgh, PA 15213
Phone (412) 692-4888

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220611000298 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9335476969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians
Butler Medical ProvidersGroup PAC ID 7416840160, shared by 2 NPIs, 355 clinicians

Practice addresses (Care Compare)

200 Delafield Rd
Suite 2040
Pittsburgh, PA 15215-3234
Phone (412) 782-5529

389 New Castle Rd
BHS Pulmonary Associates
Butler, PA 16001-1743
Phone (833) 906-0108

Hospital & facility affiliations

  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT218801PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Jun 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Internal Medicine CurrentSince Jun 24, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 24, 2022 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

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

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

200 Delafield Rd
Ste 2040
Pittsburgh, PA 15215
Phone (412) 782-5529

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

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

200 Lothrop St
Ofc Of
Pittsburgh, PA 15213

Interoperability endpoints

  • Direct secure messaging: jacob.z.deberry@upmcdirect.com

Organizations & group practices 6

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 7

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1114584141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVENUE",
            "address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011743",
            "telephone_number": "833-906-0108",
            "fax_number": "724-282-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3459 5th Ave # Nw628",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133236",
            "country_code": "US",
            "telephone_number": "412-692-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 N Broad Street Ext Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161275805",
            "country_code": "US",
            "telephone_number": "833-906-0108",
            "fax_number": "724-282-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Point Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162143873",
            "country_code": "US",
            "telephone_number": "833-906-0108",
            "fax_number": "724-282-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Lothrop Street",
            "address_2": "Office of Education N715 Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-692-4888",
            "fax_number": "412-692-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "JACOB",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD477835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.