Individual provider Active NPI

Deborah A Opacic, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1659302073
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA000662L Issued in PA
Practice address
1307 Federal St Ste B100
Pittsburgh, PA 15212-4761
Phone
(412) 359-8900
Fax
(412) 359-8977
NPI assigned
Jul 5, 2006
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 MA000662L PA Primary

Addresses

Primary practice location

1307 Federal St Ste B100
Pittsburgh, PA 15212-4761

Mailing address

1307 Federal St Ste B100
Pittsburgh, PA 15212-4761
Phone (412) 359-8900

Other identifiers 2

IdentifierTypeStateIssuer
103559413MedicaidPA
11655431OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dopacic173462@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
I20060726000033 PA Practitioner - Physician Assistant 4284647918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
MA000662LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Oct 7, 2018 Accepting new patients
Allegheny Clinic CurrentSince Oct 7, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

1307 Federal St
Ste B100
Pittsburgh, PA 15212
Phone (412) 359-4667

Interoperability endpoints

  • Direct secure messaging: dopacic173462@direct.ahn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1659302073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124761",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124761",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPACIC",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA000662L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103559413",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11655431",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dopacic173462@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St Ste B100",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.