JACOB ANDREW D'ANTONIO
NPI 1164147328
Physician Assistant - Surgical in Mars, PA

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment
6998 CRIDER RD STE 110, MARS, PA 16046(866) 874-7483 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacob Andrew D'antonio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ANDREW D'ANTONIO (NPI 1164147328) is an individual surgical provider in Mars, Pennsylvania and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164147328
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACOB ANDREW D'ANTONIO
Location Address6998 CRIDER RD STE 110Mars, PA 16046-2390
Mailing Address241 Clearbrook CtCranberry Township, PA 16066-5621
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
NPI 1164147328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
6998 CRIDER RD STE 110, Mars, PA 16046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Andrew D'antonio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264802206
PECOS Enrollment IDI20230107000132
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
6998 CRIDER RD STE 110
MARS, PA 16046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob D'antonio's NPI number?

The NPI number for Jacob D'antonio is 1164147328. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Jacob D'antonio located?

Jacob D'antonio practices at 6998 Crider Rd Ste 110, Mars, PA 16046. The listed phone number is (866) 874-7483.

What is Jacob D'antonio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacob D'antonio enrolled in Medicare?

Yes. Jacob D'antonio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob D'antonio affiliated with any hospitals?

According to CMS data, Jacob D'antonio is affiliated with Upmc Presbyterian Shadyside and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob D'antonio was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.