Active NPI
Hayley Marie Kubacki, PA-C
- Surgical Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1174091094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA063000
- Practice address
- 4815 Liberty Ave Ste 252
Pittsburgh, PA 15224-2156 - Phone
- (412) 235-5830
- NPI assigned
- Nov 8, 2018
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA063000 | PA | Primary |
Addresses
Primary practice location
4815 Liberty Ave Ste 252
Pittsburgh, PA 15224-2156
Mailing address
4815 Liberty Ave Ste 252
Pittsburgh, PA 15224-2156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14417935 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hbarblock190490@direct.ahn.org |
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
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients |
Locations
4815 Liberty Ave
Ste 252
Pittsburgh, PA 15224
Phone (412) 235-5830
4815 Liberty Ave
Ste 425
Pittsburgh, PA 15224
Phone (412) 359-4352
4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030
Interoperability endpoints
- hbarblock190490@direct.ahn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Surgery Physician
- Pittsburgh, PA
- NPI 1013240860
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1174091094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 252",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 252",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-235-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBACKI",
"first_name": "HAYLEY",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA063000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14417935",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hbarblock190490@direct.ahn.org",
"affiliation": "N",
"address_1": "4815 Liberty Ave Ste 252",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152242156",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 13, 2024; 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.