Individual provider Active NPI

Starr Kearney, D.O.

  • Internal Medicine Physician
  • St Marys, PA
National Provider Identifier
1013906643
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS005318L Issued in PA
Practice address
763 Johnsonburg Rd
Elk Regional Professional Group, Inc.
St Marys, PA 15857-3417
Phone
(814) 788-8580
Fax
(814) 788-8092
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 OS005318 I PA
Internal Medicine Physician 207R00000X OS005318L PA Primary

Addresses

Primary practice location

763 Johnsonburg Rd
Elk Regional Professional Group, Inc.
St Marys, PA 15857-3417

Mailing address

245 Grove Ave
Ridgway, PA 15853-1913
Phone (814) 772-8463

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001787 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1759285539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005318 IPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Cole Memorial D/B/a Upmc Cole Past Accepting new patients
Elk Regional Health Center, Inc. Past Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013906643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 GROVE AVE",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531913",
            "telephone_number": "814-772-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "address_2": "ELK REGIONAL PROFESSIONAL GROUP, INC.",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-788-8580",
            "fax_number": "814-788-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "STARR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS005318 I",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS005318L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Marys, PA

Sources for this page

Verify at the official NPI Registry.