Active NPI
Jacob Zachary Deberry, M.D.
- Internal Medicine Physician
- Butler, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD477835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Butler Medical Providers
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT218801 | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Internal Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Community Medicine, Inc | Internal Medicine | Current | Accepting new patients |
| Upmc Community Medcine Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1538127741
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1881035103
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Pittsburgh, PA
- NPI 1285644823
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1790795359
-
- Geriatric Medicine (Internal Medicine) Physician
- Pittsburgh, PA
- NPI 1225088313
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.