Individual provider Active NPI

Victoria Pernick

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1790942407
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001422L Issued in PA
Practice address
300 Halket St
3Rd Floor
Pittsburgh, PA 15213-3108
Phone
(412) 647-6485
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 MA001422L PA Primary

Addresses

Primary practice location

300 Halket St
3Rd Floor
Pittsburgh, PA 15213-3108

Mailing address

300 Halket St
3Rd Floor
Pittsburgh, PA 15213-3108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

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
I20080609000131 PA Practitioner - Physician Assistant 6406926021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

5115 Centre Ave
FL 3
Pittsburgh, PA 15232-1301
Phone (412) 235-1020

9100 Babcock Blvd
Suite G 600
Pittsburgh, PA 15237-5815
Phone (412) 367-1199

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Association CurrentSince Apr 1, 2022 Accepting new patients
Oncology Hematology Association CurrentSince Apr 25, 2016 Accepting new patients

Locations

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

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

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

300 Halket St
Fl 3
Pittsburgh, PA 15213
Phone (412) 641-4260

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 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1790942407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "address_2": "3RD FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "address_2": "3RD FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-647-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNICK",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001422L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.