Individual provider Active NPI

Jill Dusak

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1356670376
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C50000761 Issued in DE
Practice address
1815 W 13TH St
Brandywine Medical Associates
Wilmington, DE 19806-4054
Phone
(302) 652-4705
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 C50000761 DE Primary

Addresses

Primary practice location

1815 W 13TH St
Brandywine Medical Associates
Wilmington, DE 19806-4054

Mailing address

1815 W 13TH St
Brandywine Medical Associates
Wilmington, DE 19806-4054

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.e.dusak@upmcdirect.com UPMC

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
I20131026000101 PA Practitioner - Physician Assistant 4880849868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
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)

300 Halket St
Pittsburgh, PA 15213-3108

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 14, 2013 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 14, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

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

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

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

300 Halket St
Ste 5600
Pittsburgh, PA 15213
Phone (412) 641-2178

Organizations & group practices 4

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 2

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": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1356670376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST",
            "address_2": "BRANDYWINE MEDICAL ASSOCIATES",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST",
            "address_2": "BRANDYWINE MEDICAL ASSOCIATES",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054",
            "telephone_number": "302-652-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSAK",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.e.dusak@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.