Individual provider Active NPI

Alisa B. Penich, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1588815898
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053448 Issued in PA
Practice address
3433 William Penn Hwy
Pittsburgh, PA 15235-5412
Phone
(412) 825-3627
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053448 PA Primary

Addresses

Primary practice location

3433 William Penn Hwy
Pittsburgh, PA 15235-5412

Mailing address

3433 William Penn Hwy
Pittsburgh, PA 15235-5412

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
I20130215000232 PA Practitioner - Physician Assistant 6507010717 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

3876 Route 30
Latrobe, PA 15650-5256
Phone (724) 537-5064

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

5126 Route 30
Suite 300
Greensburg, PA 15601-7835
Phone (724) 836-3027

6510 Route 30
Jeannette, PA 15644-3170
Phone (724) 527-3428

8945 Route 30
North Huntingdon, PA 15642-2704
Phone (724) 382-7046

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Aug 29, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2017 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Oct 1, 2023 Accepting new patients
Fayette Physician Network Inc CurrentSince Aug 29, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

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

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

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 9

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1588815898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 WILLIAM PENN HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 WILLIAM PENN HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355412",
            "telephone_number": "412-825-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICH",
        "first_name": "ALISA",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.