Individual provider Active NPI

Kelly C McArdle, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1437212032
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051454 Issued in PA
Practice address
4815 Liberty Ave Ste 215
Pittsburgh, PA 15224-2156
Phone
(412) 578-5901
Fax
(412) 578-5902
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA002948 PA
Physician Assistant 363A00000X MA051454 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 215
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 215
Pittsburgh, PA 15224-2156
Phone (412) 578-5901

Other identifiers 2

IdentifierTypeStateIssuer
103229409MedicaidPA
12133938OtherCAQH

Other names 1

  • Kelly Chrillo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kchrillo10700@direct.ahn.org

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
I20070423000455 PA Practitioner - Physician Assistant 0547365371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1900 Waterdam Plaza Dr
FL 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

2566 Haymaker Rd
Suite 107
Monroeville, PA 15146-3553
Phone (412) 858-4150

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656

4815 Liberty Ave
Pittsburgh, PA 15224-2156

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA051454PAMDPhysician Assistant
OA002948PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Oct 18, 2010 Accepting new patients
Allegheny Clinic CurrentSince Oct 18, 2010 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System, Inc. Past Accepting new patients

Locations

1900 Waterdam Plaza Dr
Ste 2
McMurray, PA 15317
Phone (724) 260-7531

2566 Haymaker Rd
Ste 304
Monroeville, PA 15146
Phone (412) 457-0040

4815 Liberty Ave
Ste 425
Pittsburgh, PA 15224
Phone (412) 359-4352

4815 Liberty Ave
Ste 215
Pittsburgh, PA 15224
Phone (412) 235-5900

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

Interoperability endpoints

  • Direct secure messaging: kchrillo10700@direct.ahn.org

Organizations & group practices 6

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1437212032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 215",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 215",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-5901",
            "fax_number": "412-578-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARDLE",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002948",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103229409",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12133938",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kchrillo10700@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste 215",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CHRILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.