NPIMap

Individual provider Active NPI

Amy M Roach, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1932437480
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054065 Issued in PA
Practice address
1307 Federal St
Suite 300
Pittsburgh, PA 15212-4769
Phone
(412) 281-1757
Fax
(412) 281-7274
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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 MA054065 PA
Physician Assistant 363A00000X MA054065 PA Primary

Addresses

Primary practice location

1307 Federal St
Suite 300
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St
Suite 300
Pittsburgh, PA 15212-4769
Phone (412) 281-1757

Other identifiers 2

IdentifierTypeStateIssuer
12638448OtherCAQH
325131NHMMedicaidPA

Other names 1

  • Miss Amy M Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aroach21589@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130605000258 PA Practitioner - Physician Assistant 0840438735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

1307 Federal St
Pittsburgh, PA 15212-4769

200 Quinn Dr
Pittsburgh, PA 15275-1055

320 E N Ave
Pittsburgh, PA 15212-4756

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054065PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
David C. Mittell Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4141 Washington Rd
McMurray, PA 15317
Phone (724) 884-0895

1307 Federal St
Ste 300
Pittsburgh, PA 15212
Phone (412) 281-1757

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Interoperability endpoints

  • Direct secure messaging: aroach21589@direct.ahn.org

Organizations & group practices 6

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 10

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1932437480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-281-1757",
            "fax_number": "412-281-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-281-1757",
            "fax_number": "412-281-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054065",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12638448",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325131NHM",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroach21589@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St",
            "address_2": "SUITE 300",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SMITH",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.