NPIMap

Individual provider Active NPI

Deeann Mae Polakovsky, PAC

  • Medical Physician Assistant
  • Greensburg, PA
National Provider Identifier
1699756544
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003596L Issued in PA
Practice address
6321 Route 30 FL 2
Greensburg, PA 15601-9703
Phone
(724) 671-1570
Fax
(724) 522-7726
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 MA003596L PA Primary

Addresses

Primary practice location

6321 Route 30 FL 2
Greensburg, PA 15601-9703

Mailing address

6321 Route 30 FL 2
Greensburg, PA 15601-9703
Phone (724) 671-1570

Other names 1

  • Miss Deann Mae Pearson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000386 PA Practitioner - Physician Assistant 8820199391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

6321 Route 30
Greensburg, PA 15601-9704

6321 Rte
30 Suite 200
Greensburg, PA 15601-9704
Phone (412) 578-1212

6321 State Route 30
Suite 200
Greensburg, PA 15601-9704
Phone (412) 373-1600

Hospital & facility affiliations

  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Apr 1, 2018 Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2018 Accepting new patients
Western Pennsylvania Family Medicine Associates, LTD. Past Accepting new patients

Locations

6321 State Route 30
Fl 2
Greensburg, PA 15601
Phone (724) 671-1570

6321 State Route 30
Ste 200
Greensburg, PA 15601
Phone (412) 373-6666

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

310 Mulberry St
Scottdale, PA 15683
Phone (412) 457-0040

Interoperability endpoints

  • Direct secure messaging: dpolakovsky158012@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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1699756544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 ROUTE 30 FL 2",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019703",
            "telephone_number": "724-671-1570",
            "fax_number": "724-522-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 ROUTE 30 FL 2",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019703",
            "telephone_number": "724-671-1570",
            "fax_number": "724-522-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAKOVSKY",
        "first_name": "DEEANN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003596L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANN",
            "last_name": "PEARSON",
            "middle_name": "MAE",
            "prefix": "MISS",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.