Individual provider Active NPI

Kellie A Gustas, P.A-C

  • Medical Physician Assistant
  • Suffolk, VA
National Provider Identifier
1891101929
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110011923 Issued in VA
Practice address
3920A Bridge Rd Ste 202
Suffolk, VA 23435-1117
Phone
(757) 983-0330
Fax
(757) 431-7788
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056903 PA
Medical Physician Assistant 363AM0700X 0110011923 VA Primary

Addresses

Primary practice location

3920A Bridge Rd Ste 202
Suffolk, VA 23435-1117

Mailing address

3920A Bridge Rd Ste 202
Suffolk, VA 23435-1117
Phone (757) 983-0330

Other practice location 1

2075 Glenn Mitchell Dr Ste 400
Virginia Beach, VA 23456-0179
Phone (757) 252-9365

Other practice location 2

844 Kempsville Rd Ste 204
Norfolk, VA 23502-3927
Phone (757) 261-0700

Other practice location 3

11803 Jefferson Ave Ste 205
Newport News, VA 23606-2565
Phone (757) 736-9860

Other practice location 4

713 Volvo Pkwy Ste 200
Chesapeake, VA 23320-1614
Phone (757) 282-4150

Other practice location 5

200 Lothrop St
HVI South Tower 3F
Pittsburgh, PA 15213-2536
Phone (412) 647-6000

Other practice location 6

600 Gresham Dr Ste 8630A
Norfolk, VA 23507-1904
Phone (757) 388-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

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
I20150205000100 PA Practitioner - Physician Assistant 4486979945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1300 Oxford Dr
Bethel Park, PA 15102-1800

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056903PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Dec 27, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 27, 2021 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Sentara Medical Group PastSince Oct 1, 2006 Accepting new patients

Locations

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
#5B
Pittsburgh, PA 15213
Phone (412) 647-4123

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

Interoperability endpoints

  • Direct secure messaging: kellie.a.gustas@upmcdirect.com

Organizations & group practices 5

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 5

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1891101929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920A BRIDGE RD STE 202",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351117",
            "telephone_number": "757-983-0330",
            "fax_number": "757-431-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920A BRIDGE RD STE 202",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351117",
            "telephone_number": "757-983-0330",
            "fax_number": "757-431-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 Glenn Mitchell Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234560179",
            "country_code": "US",
            "telephone_number": "757-252-9365",
            "fax_number": "757-962-7217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "844 Kempsville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023927",
            "country_code": "US",
            "telephone_number": "757-261-0700",
            "fax_number": "757-510-9454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11803 Jefferson Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062565",
            "country_code": "US",
            "telephone_number": "757-736-9860",
            "fax_number": "757-736-9860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Volvo Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201614",
            "country_code": "US",
            "telephone_number": "757-282-4150",
            "fax_number": "757-510-9455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Lothrop St",
            "address_2": "HVI South Tower 3F",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "412-647-6000",
            "fax_number": "412-647-2985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr Ste 8630A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-6144",
            "fax_number": "757-388-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAS",
        "first_name": "KELLIE",
        "middle_name": "A",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056903",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110011923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.