NPIMap

Individual provider Active NPI

Kaitlyn Elizabeth Petro, PA-C

  • Hospitalist Physician
  • Pittsburgh, PA
National Provider Identifier
1255876801
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MA060628 Issued in PA
Practice address
5230 Centre Ave
Pittsburgh, PA 15232-1304
Phone
(814) 623-3682
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MA060628 PA Primary
Physician Assistant 363A00000X 0010-06923 NC

Addresses

Primary practice location

5230 Centre Ave
Pittsburgh, PA 15232-1304

Mailing address

5230 Centre Ave
Pittsburgh, PA 15232-1304
Phone (814) 977-6942

Other practice location 1

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170327001333 NC Practitioner - Physician Assistant 7618252073 Reassigns benefits to 1 organization
I20190815001195 PA Practitioner - Physician Assistant 7618252073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

5230 Centre Ave
Pittsburgh, PA 15232-1304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06923NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center Physician Assistant CurrentSince Sep 14, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Sep 14, 2023 Accepting new patients
Mon Vale Clinical Professionals, Inc. Hospitalist CurrentSince Aug 15, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 25, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 25, 2017 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

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

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

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Interoperability endpoints

  • Direct secure messaging: kaitlyn.forgas2@upmcdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1255876801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321304",
            "telephone_number": "814-977-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321304",
            "telephone_number": "814-623-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Monongahela",
            "state": "PA",
            "postal_code": "150631013",
            "country_code": "US",
            "telephone_number": "724-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRO",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MA060628",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.