Active NPI
Pradeep Dayanand, M.D.
- Interventional Cardiology Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD480035
- Practice address
- 2315 Myrtle St Ste 190
Erie, PA 16502-4604 - Phone
- (814) 453-7767
- Fax
- (814) 454-6667
- NPI assigned
- May 18, 2016
- Reactivated
- Feb 10, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD480035 | PA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | MD480035 | PA |
Addresses
Primary practice location
2315 Myrtle St Ste 190
Erie, PA 16502-4604
Mailing address
2315 Myrtle St Ste 190
Erie, PA 16502-4604
Phone (814) 453-7767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2315 Myrtle St
Suite 190
Erie, PA 16502-4604
Phone (814) 453-7767
Hospital & facility affiliations
- Saint Vincent Hospital
- Warren General Hospital
- Warren General Hospital
- Westfield Memorial Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD480035 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Consultants in Cardiovascular Diseases | Cardiovascular Disease | Current | Accepting new patients |
| St Vincent Medical Education and Research Institute Inc | Past | Accepting new patients |
Locations
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767
2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Erie, PA
- NPI 1902114911
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Warren, PA
- NPI 1376497362
-
- General Acute Care Hospital
- Warren, PA
- NPI 1659360220
-
- General Acute Care Hospital
- Westfield, NY
- NPI 1942236427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1003263146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 MYRTLE ST STE 190",
"city": "ERIE",
"state": "PA",
"postal_code": "165024604",
"telephone_number": "814-453-7767",
"fax_number": "814-454-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 MYRTLE ST STE 190",
"city": "ERIE",
"state": "PA",
"postal_code": "165024604",
"telephone_number": "814-453-7767",
"fax_number": "814-454-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYANAND",
"first_name": "PRADEEP",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-18",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"deactivation_date": "2017-01-10",
"reactivation_date": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "MD480035",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD480035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.