Individual provider Active NPI

John Gabrick, PA-C

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1518451699
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059870 Issued in PA
Practice address
2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500
Phone
(412) 858-3070
Fax
(412) 858-3076
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 MA059870 PA Primary

Addresses

Primary practice location

2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500

Mailing address

2580 Haymaker Rd Ste 304
Monroeville, PA 15146-3500
Phone (412) 858-3070

Other identifiers 2

IdentifierTypeStateIssuer
103530415MedicaidPA
14288851OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgabrick173707@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
I20180918003721 PA Practitioner - Physician Assistant 4385995133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

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

320 E N Ave
Pittsburgh, PA 15212-4756

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059870PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc CurrentSince Sep 15, 2018 Accepting new patients
Allegheny Clinic CurrentSince Aug 17, 2018 Accepting new patients
Valley Medical Facilities Inc CurrentSince Sep 15, 2018 Accepting new patients
Allegheny Clinic CurrentSince Aug 17, 2018 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Sep 15, 2018 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2580 Haymaker Rd
Ste 304
Monroeville, PA 15146
Phone (412) 578-4341

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

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

420 E North Ave
Ste 304
Pittsburgh, PA 15212
Phone (412) 359-4022

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: jgabrick173707@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1518451699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-3070",
            "fax_number": "412-858-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 304",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-3070",
            "fax_number": "412-858-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRICK",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103530415",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14288851",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgabrick173707@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2580 Haymaker Rd Ste 304",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.