Individual provider Active NPI

Katherine Elizabeth Altavilla, PA-C

  • Medical Physician Assistant
  • Clairton, PA
National Provider Identifier
1629620158
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061468 Issued in PA
Practice address
565 Coal Valley Rd
Clairton, PA 15025-3703
Phone
(412) 359-3030
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA061468 PA Primary
Medical Physician Assistant 363AM0700X 2259 WV

Addresses

Primary practice location

565 Coal Valley Rd
Clairton, PA 15025-3703

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khohos294538@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
I20200608000366 PA Practitioner - Physician Assistant 7113257544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny Clinic 2,313 clinicians

Practice addresses (Care Compare)

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

2566 Haymaker Rd
Monroeville, PA 15146-3555

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

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

Hospital & facility affiliations

  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061468PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince May 18, 2020 Accepting new patients
Allegheny Clinic CurrentSince May 18, 2020 Accepting new patients
Allegheny Clinic CurrentSince May 18, 2020 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

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

Interoperability endpoints

  • Direct secure messaging: khohos294538@direct.ahn.org

Organizations & group practices 8

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 2

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1629620158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-359-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAVILLA",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061468",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khohos294538@direct.ahn.org",
            "affiliation": "N",
            "address_1": "565 Coal Valley Rd",
            "city": "Clairton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.