Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Travis J. Deptola, PA-C

Individual provider Physician Assistant · NPI 1730809021

Travis J. Deptola, PA-C is a Physician Assistant in Pittsburgh, Pennsylvania. Qualified in 2022, 4 years ago. Practices with St Clair Medical Services Inc, a 200-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

180 Fort Couch Rd Ste 304
Pittsburgh, PA 15241-1041
Phone: (412) 831-0355
Fax: (412) 854-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA063716 (PA)

Record details

NPI number1730809021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address180 Fort Couch Rd Ste 304, Pittsburgh, PA 15241-1041

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Clair Medical Services Inc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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