Dustin D Henegan, PA

Individual provider Active NPI Medical Physician Assistant · Hermitage, PA

NPI 1497083455 · NPPES record last updated Mar 26, 2025

Key facts

NPI
1497083455
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
MA054170 (PA)
Practice address
1005 Campus Cir
Hermitage, PA 16148-7901
Phone
(724) 346-2677
Fax
(724) 346-2825
NPI assigned
Dec 2, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLC (254 clinicians)

Practice addresses (Care Compare)

1729 E State St
Upmc Gohealth Urgent Care
Hermitage, PA 16148-1863
Phone (724) 347-2083

18471 Smock Hwy
Suite 107
Meadville, PA 16335-3610
Phone (814) 333-3627

2411 Wilmington Rd
Upmc Gohealth Urgent Care
New Castle, PA 16105-1938
Phone (724) 656-4320

2652 Darlington Rd
Suite 10
Beaver Falls, PA 15010-1295
Phone (724) 891-3278

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

5039 Peach St
Erie, PA 16509-2032
Phone (814) 866-1443

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100204000028 PA Practitioner - Physician Assistant 8527101179 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current
since Sep 1, 2021
Accepting new patients
University of Pittsburgh Physicians Current
since Sep 1, 2021
Accepting new patients
Ucmg LLC Current
since Jan 10, 2026
Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

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

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

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Interoperability endpoints

  • Direct secure messaging: dustin.henegan2@upmcdirect.com
  • Direct secure messaging: dhenegan21393@gohealthupmc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054170 PA Yes

Addresses

Primary practice location

1005 Campus Cir
Hermitage, PA 16148-7901

Mailing address

1005 Campus Cir
Hermitage, PA 16148-7901
Phone (724) 346-2677

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dustin.henegan2@upmcdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2025.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1497083455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CAMPUS CIR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487901",
            "telephone_number": "724-346-2677",
            "fax_number": "724-346-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CAMPUS CIR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487901",
            "telephone_number": "724-346-2677",
            "fax_number": "724-346-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEGAN",
        "first_name": "DUSTIN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustin.henegan2@upmcdirect.com",
            "affiliation": "N",
            "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 Hermitage, PA

All providers in Hermitage, PA · Medical Physician Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.