Individual provider Active NPI

Eleshia D Hradecky, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1245540210
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054534 Issued in PA
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(724) 840-0104
NPI assigned
Oct 8, 2010
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054534 PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

564 Taylor Dr
Canonsburg, PA 15317-2830
Phone (724) 840-0104

Other practice location 1

460 Washington Rd Ste 7
Washington, PA 15301-2765
Phone (724) 225-3627

Other names 1

  • Eleshia Putt Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000418 PA Practitioner - Physician Assistant 3072702729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

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

3024 Washington Pike
Upmc Gohealth Urgent Care
Bridgeville, PA 15017-1404
Phone (412) 221-5475

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

460 Washington Rd
Suite 7 Upmc Gohealth Urgent Care
Washington, PA 15301-2765
Phone (724) 225-3627

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

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054534PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 16, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 16, 2024 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 1, 2024 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 1, 2024 Accepting new patients
Lebanon Emergency Physicians PC Past 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

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

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

200 Lothrop St
#C700
Pittsburgh, PA 15213
Phone (412) 648-6200

200 Lothrop St
#C800
Pittsburgh, PA 15213
Phone (412) 647-4700

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

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

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

460 Washington Rd
Ste 7
Washington, PA 15301
Phone (724) 225-3627

Interoperability endpoints

  • Direct secure messaging: ehradecky21397@gohealthupmc.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1245540210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 TAYLOR DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172830",
            "telephone_number": "724-840-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-840-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Washington Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153012765",
            "country_code": "US",
            "telephone_number": "724-225-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRADECKY",
        "first_name": "ELESHIA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELESHIA",
            "last_name": "PUTT",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.