Individual provider Active NPI

Ryan J. Hertweck, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1366723850
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055090 Issued in PA
Practice address
180 Fort Couch Rd Ste 200
Pittsburgh, PA 15241-1046
Phone
(412) 595-0430
Fax
(412) 595-0425
NPI assigned
Aug 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 MA055090 PA Primary

Addresses

Primary practice location

180 Fort Couch Rd Ste 200
Pittsburgh, PA 15241-1046

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ryan.Hertweck@forefrontdermatology.emadirect.md

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
I20111004000478 PA Practitioner - Physician Assistant 3577735117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

180 Fort Couch Rd
Suite 200
Pittsburgh, PA 15241-1046
Phone (412) 595-0430

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055090PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Apr 20, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Apr 20, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

419 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 837-5810

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

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.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1366723850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411046",
            "telephone_number": "412-595-0430",
            "fax_number": "412-595-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTWECK",
        "first_name": "RYAN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan.Hertweck@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "180 Fort Couch Rd Ste 200",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152411046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.