Individual provider Active NPI

Marijo Bilitski

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1720552953
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114430 Issued in FL
Practice address
1001 S Fort Harrison Ave Ste 101
Clearwater, FL 33756-3941
Phone
(727) 441-5044
NPI assigned
Jan 22, 2019
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 PA9114430 FL Primary

Addresses

Primary practice location

1001 S Fort Harrison Ave Ste 101
Clearwater, FL 33756-3941

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice location 1

13330 Usf Laurel Dr
Tampa, FL 33612-6601
Phone (813) 821-8014

Other identifiers 1

IdentifierTypeStateIssuer
X8RYTOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210831000966 FL Practitioner - Physician Assistant 2961808993 Reassigns benefits to 1 organization
I20260113004253 PA Practitioner - Physician Assistant 2961808993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

12116 State Route 30
North Huntingdon, PA 15642-1843
Phone (724) 863-4362

1440 Morrell Ave
Connellsville, PA 15425-3809
Phone (724) 626-1347

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

6396 Route 819 S
Upmc Gohealth Urgent Care
Mt Pleasant, PA 15666-3670
Phone (724) 547-3627

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

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Ucmg LLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mbilitski216232@direct.tgh.org

Organizations & group practices 3

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1720552953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S FORT HARRISON AVE STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563941",
            "telephone_number": "727-441-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13330 Usf Laurel Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336126601",
            "country_code": "US",
            "telephone_number": "813-821-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILITSKI",
        "first_name": "MARIJO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X8RYT",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.