Individual provider Active NPI

Jason Christopher Takacs Jr., PA-C

  • Medical Physician Assistant
  • Wexford, PA
National Provider Identifier
1629677356
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061959 Issued in PA
Practice address
7500 Brooktree Rd Ste 302
Wexford, PA 15090-9285
Phone
(866) 874-7483
NPI assigned
Oct 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 OA005536 PA
Medical Physician Assistant 363AM0700X MA061959 PA Primary

Addresses

Primary practice location

7500 Brooktree Rd Ste 302
Wexford, PA 15090-9285

Mailing address

7500 Brooktree Rd Ste 302
Wexford, PA 15090-9285
Phone (866) 874-7483

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
I20230424001947 PA Practitioner - Physician Assistant 3779948948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Multispecialty Group IncGroup PAC ID 7315263621, 57 clinicians

Practice addresses (Care Compare)

6998 Crider Rd
Suite 110
Mars, PA 16046-2390
Phone (866) 874-7483

9104 Babcock Blvd
Suite 2120
Pittsburgh, PA 15237-5818
Phone (866) 874-7483

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Quality
69.17
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA005536PAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jason.c.takacs@upmcdirect.com

Organizations & group practices 1

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1629677356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 302",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "866-874-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 302",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "866-874-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACS",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005536",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.