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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000028 | PA | Practitioner - Physician Assistant | 8527101179 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| Ucmg LLC | Current |
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
- dustin.henegan2@upmcdirect.com
- dhenegan21393@gohealthupmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dustin.henegan2@upmcdirect.com |
NPI Registry JSON
{
"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
- Helping Hands Home Care Service Inc
- Helping Hands Home Care Service Inc
- Helping Hands Home Care Service Inc
- Helping Hands Home Care Service Inc
- Helping Hands Medical Network, PC
- Jon R. Henwood
- Alishia Ann Hepak
- William Joseph Herbert
- Hermitage 1 LLC
- Hermitage Area School District
All providers in Hermitage, PA · Medical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.