Individual provider Active NPI

Makayla Mae Waltman, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1326819772
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065132 Issued in PA
Practice address
4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Phone
(412) 621-1818
Fax
(412) 621-4337
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA065132 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Phone (412) 621-1818

Other practice location 1

4800 Friendship Ave
Pittsburgh, PA 15224-1793
Phone (412) 578-5000

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
I20240412000452 PA Practitioner - Physician Assistant 2466891346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065132PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Mar 4, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Mar 4, 2024 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

122 Gallery Dr
Mc Murray, PA 15317
Phone (412) 283-0110

200 Quinn Dr
Ste 270
Pittsburgh, PA 15275

4815 Liberty Ave
Ste M54
Pittsburgh, PA 15224
Phone (412) 621-1818

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

651 Holiday Dr
Ste 100B
Pittsburgh, PA 15220
Phone (412) 539-1310

8950 Duncan Ave
Fl 3
Pittsburgh, PA 15237
Phone (412) 621-1818

Interoperability endpoints

  • Direct secure messaging: wmakayla457192@direct.ahn.org

Organizations & group practices 5

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1326819772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE M54",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-1818",
            "fax_number": "412-621-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE M54",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-1818",
            "fax_number": "412-621-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Friendship Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241793",
            "country_code": "US",
            "telephone_number": "412-578-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTMAN",
        "first_name": "MAKAYLA",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.