Individual provider Active NPI

Kevin A Andryc, DO

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1013175835
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-010094 Issued in OH
Practice address
201 State St
Erie, PA 16550-0002
Phone
(814) 877-6000
Fax
(814) 877-4010
NPI assigned
May 29, 2008
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT011707 PA
Emergency Medicine Physician 207P00000X 34-010094 OH Primary

Addresses

Primary practice location

201 State St
Erie, PA 16550-0002

Mailing address

9411 Ravenna Rd
Chardon, OH 44024-9161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000910 OH Practitioner - Emergency Medicine 9537296355 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Emergency Specialists LLCGroup PAC ID 4587807854, 14 clinicians
Ues Geneva LLCGroup PAC ID 4789827064, 14 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039
Phone (330) 493-4443

870 W Main St
Geneva, OH 44041-1219
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.26 of 100Reported as group
Quality
86.95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
90.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
79.57
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-010094OHMDEmergency Medicine Physician
OT011707PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Emergency Specialists LLC Emergency Medicine CurrentSince Sep 19, 2016 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Aug 18, 2019 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ues Geneva LLC Emergency Medicine CurrentSince Jan 31, 2015 Accepting new patients
University Primary Care Practices Inc CurrentSince Jun 1, 2017 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Aug 18, 2019 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Feb 1, 2015 Accepting new patients
University Primary Care Practices Inc CurrentSince Jun 1, 2017 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-6000

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500

Interoperability endpoints

  • Direct secure messaging: kandryc37326@ehrdirect.uhhospitals.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1013175835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-6000",
            "fax_number": "814-877-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRYC",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT011707",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-010094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.