Travis J. Deptola, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA063716 Issued in PA

Practice address

180 Fort Couch Rd Ste 304
Pittsburgh, PA 15241-1041

Phone

(412) 831-0355

Fax

(412) 854-5152

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• New Directions Mental Health, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McMurray, PA
  • NPI 1215904800
  Medicare reassignment Care Compare group
• St Clair Medical Services, Inc.

  dba St. Clair Medical Group Psychiatry

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1467485565
  Medicare reassignment Care Compare group
• Central Outreach Wellness Center

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1063804136
  Medicare reassignment
• St Clair Medical Services Inc

  dba St. Clair Medical Group Otolaryngology

  • Otolaryngology Physician
  • Bethel Park, PA
  • NPI 1659224715
  NPD
• St. Clair Medical Services Inc.

  dba St. Clair Medical Group Pulmonary & Critical Care Medicine

  • Pulmonary Disease Physician
  • Pittsburgh, PA
  • NPI 1912446899
  NPD
• St Clair Medical Services Inc

  dba St. Clair Medical Group Family Medicine

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1447751979
  NPD (past)

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

• St Clair Memorial Hospital

  dba St. Clair Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  Care Compare affiliation

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1730809021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411041",
            "telephone_number": "412-831-0355",
            "fax_number": "412-854-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT COUCH RD STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411041",
            "telephone_number": "412-831-0355",
            "fax_number": "412-854-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPTOLA",
        "first_name": "TRAVIS",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Depietro
• Paul A Depippo, M.D.
• Ann Depner, LCSW
• Nina Teresa Depp, CRNP
• Ana E Depres
• Mark Lewis Derbyshire, MD
• Joseph Derenzo
• Danielle Derienzo, PA-C
• Tara J Deringor, P.T.
• Barbara M. Deriso, MD

• Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.