Individual provider Active NPI

Andrew Tkacik, PA

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1154963387
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065622 Issued in PA
Practice address
4800 Friendship Ave FL 1
Pittsburgh, PA 15224-1722
Phone
(412) 578-1890
Fax
(412) 578-6925
NPI assigned
Oct 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 MA065622 PA Primary
Physician Assistant 363A00000X 026835 NY

Addresses

Primary practice location

4800 Friendship Ave FL 1
Pittsburgh, PA 15224-1722

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210824002118 NY Practitioner - Physician Assistant 5496188088 Reassigns benefits to 1 organization
I20240919003897 PA Practitioner - Physician Assistant 5496188088 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

1535 Washington Rd
Upmc Gohealth Urgent Care
Pittsburgh, PA 15228-1621
Phone (412) 531-1585

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

3516 Saw Mill Run Blvd
Pittsburgh, PA 15227-2720
Phone (412) 884-0327

3840 Washington Rd
Suite 300 Upmc Gohealth Urgent Care
McMurray, PA 15317-2919
Phone (724) 941-3273

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

617 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 543-8150

695 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 653-5556

Merit-based Incentive Payment System (MIPS)

Final score
99 of 100Reported as group
Quality
95.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065622PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 1, 2024 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 1, 2024 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: atkacik169368@direct-guthrie.org

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1154963387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-2459",
            "fax_number": "412-359-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE FL 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-1890",
            "fax_number": "412-578-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACIK",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065622",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.