Active NPI
Kellie A Gustas, P.A-C
- Medical Physician Assistant
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110011923
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- St Clair Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA056903 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Emergency Medicine Inc | Past | Accepting new patients | |
| Sentara Medical Group | Past | 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
- 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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1568427532
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1073587119
-
- Ambulatory Surgical Clinic/Center
- Pittsburgh, PA
- NPI 1144384082
Hospital
-
- Psychiatric Hospital Unit
- Pittsburgh, PA
- NPI 1750390134
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1821007881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.