Individual provider Active NPI

Sydney C McWilliams, PA-C

  • Physician Assistant
  • Bethel Park, PA
National Provider Identifier
1487148144
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059799 Issued in PA
Practice address
2880 Industrial Blvd
Bethel Park, PA 15102-2534
Phone
(412) 854-7530
Fax
(412) 854-7531
NPI assigned
Jun 17, 2018
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 OA004475 PA
Physician Assistant 363A00000X MA059799 PA Primary

Addresses

Primary practice location

2880 Industrial Blvd
Bethel Park, PA 15102-2534

Mailing address

2880 Industrial Blvd
Bethel Park, PA 15102-2534
Phone (412) 854-7530

Other identifiers 2

IdentifierTypeStateIssuer
14318043OtherCAQH
103529568MedicaidPA

Other names 1

  • Sydney C Stankus Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sydney.mcwilliams@upmcdirect.com

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
I20180924001149 PA Practitioner - Physician Assistant 8921359464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA004475PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Feb 7, 2022 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2018 Accepting new patients
Upmc Community Medicine Inc CurrentSince Feb 7, 2022 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2018 Accepting new patients
Duquesne University of the Holy Spirit PastSince Aug 6, 2023 Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

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

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

490 E North Ave
Ste 500
Pittsburgh, PA 15212
Phone (412) 359-3895

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1487148144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 INDUSTRIAL BLVD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022534",
            "telephone_number": "412-854-7530",
            "fax_number": "412-854-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 INDUSTRIAL BLVD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022534",
            "telephone_number": "412-854-7530",
            "fax_number": "412-854-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "SYDNEY",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004475",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14318043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103529568",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sydney.mcwilliams@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "STANKUS",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.