Individual provider Active NPI

Adam Vanlieshout

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1972969053
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057983 Issued in PA
Practice address
300 Halket St Ste 1731
Suite 1731
Pittsburgh, PA 15213-3108
Phone
(412) 641-1000
NPI assigned
Jan 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057983 PA Primary

Addresses

Primary practice location

300 Halket St Ste 1731
Suite 1731
Pittsburgh, PA 15213-3108

Mailing address

300 Halket St Ste 1731
Suite 1731
Pittsburgh, PA 15213-3108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam.vanlieshout@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
I20201210003126 PA Practitioner - Physician Assistant 2961814124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

100 Bradford Rd
Suite 310
Wexford, PA 15090-8487
Phone (724) 933-7117

2 Hot Meal St
Pittsburgh, PA 15203-2348

300 Halket St
Pittsburgh, PA 15213-3108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057983PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Sep 10, 2020 Accepting new patients
Upmc Community Medcine Inc CurrentSince Sep 10, 2020 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

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

300 Halket St
Ste 1731
Pittsburgh, PA 15213
Phone (412) 422-5970

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

100 Bradford Rd
Ste 310
Wexford, PA 15090
Phone (724) 933-7117

Interoperability endpoints

  • Direct secure messaging: adam.vanlieshout@upmcdirect.com

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 4

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1972969053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST STE 1731",
            "address_2": "SUITE 1731",
            "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 STE 1731",
            "address_2": "SUITE 1731",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLIESHOUT",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2021-04-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.vanlieshout@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.