Individual provider Active NPI

Nicholas John Gust, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1336744101
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061957 Issued in PA
Practice address
320 Guys Run Rd
Pittsburgh, PA 15238-1375
Phone
(412) 828-1300
NPI assigned
Dec 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 MA061957 PA Primary

Addresses

Primary practice location

320 Guys Run Rd
Pittsburgh, PA 15238-1375

Mailing address

4840 Harrison St Apt 209
Pittsburgh, PA 15201-2749
Phone (724) 612-2896

Other practice location 1

351 Camp Meeting Road
Sewickley, PA 15143
Phone (412) 741-9500

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
I20201207002088 PA Practitioner - Physician Assistant 5597177014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krishna Narayanan, MD, LLCGroup PAC ID 3577635846, 3 clinicians

Practice addresses (Care Compare)

900 Mount Royal Blvd
Suite 1
Pittsburgh, PA 15223-1060
Phone (412) 657-1978

Hospital & facility affiliations

  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061957PAMDMedical Physician Assistant

Organizations & group practices 1

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 7

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1336744101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 HARRISON ST APT 209",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012749",
            "telephone_number": "724-612-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GUYS RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381375",
            "telephone_number": "412-828-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Camp Meeting Road",
            "address_purpose": "LOCATION",
            "city": "Sewickley",
            "state": "PA",
            "postal_code": "15143",
            "country_code": "US",
            "telephone_number": "412-741-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUST",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.