Active NPI
McKenzie Madore Tresky, PA-C
- Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1144515966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA054897
- Practice address
- 4800 Friendship Ave
Pittsburgh, PA 15224-1722 - Phone
- (412) 578-5442
- Fax
- (814) 946-7808
- NPI assigned
- Jun 9, 2011
- Last updated
- Mar 9, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054897 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Mailing address
250 Grace Manor Dr
Coraopolis, PA 15108-9721
Phone (814) 777-3711
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.3 of 100
- Quality
- 81.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 79.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- mmadore63185@direct.ahn.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Monroeville, PA
- NPI 1235554692
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1033534490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1144515966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 GRACE MANOR DR",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151089721",
"telephone_number": "814-777-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5442",
"fax_number": "814-946-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRESKY",
"first_name": "MCKENZIE",
"middle_name": "MADORE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.