Individual provider Active NPI

Kelsey Lane Dilks, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1720853740
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065064 Issued in PA
Practice address
1400 Locust St Ste G103
Pittsburgh, PA 15219-5114
Phone
(412) 232-7328
Fax
(412) 232-8150
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 MA065064 PA Primary

Addresses

Primary practice location

1400 Locust St Ste G103
Pittsburgh, PA 15219-5114

Mailing address

1400 Locust St Ste G103
Pittsburgh, PA 15219-5114

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
I20240126001998 PA Practitioner - Physician Assistant 1355794231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology Oncology AssociationGroup PAC ID 2860413002, 76 clinicians

Practice addresses (Care Compare)

1400 Locust St
Suite G104
Pittsburgh, PA 15219-5114
Phone (412) 232-7328

200 Village Dr
Greensburg, PA 15601-3783
Phone (724) 838-1900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Association CurrentSince Dec 20, 2023 Accepting new patients

Locations

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1400 Locust St
Ste G103
Pittsburgh, PA 15219
Phone (412) 227-0820

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 3

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1720853740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST STE G103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST STE G103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-7328",
            "fax_number": "412-232-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILKS",
        "first_name": "KELSEY",
        "middle_name": "LANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.