NPIMap

Individual provider Active NPI

Savas Mavridis, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lebanon, PA
National Provider Identifier
1013912070
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD063694L Issued in PA
Practice address
252 S 4TH St FL 2
Lebanon, PA 17042
Phone
(717) 270-3751
Fax
(717) 270-3751
NPI assigned
Jun 16, 2005
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD063694L PA Primary

Addresses

Primary practice location

252 S 4TH St FL 2
Lebanon, PA 17042

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405

Other practice location 1

1086 Franklin St
M7
Johnstown, PA 15905-4305
Phone (814) 534-9407

Other practice location 2

1086 Franklin St
M7
Johnstown, PA 15905-4305
Phone (814) 534-9407

Other identifiers 1

IdentifierTypeStateIssuer
0019548830001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090313000377 PA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0648336834 Reassigns benefits to 4 organizations
I20220420001116 OH Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0648336834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Nason Dr
DLP Conemaugh Phys Prac LLC
Roaring Spring, PA 16673-1202
Phone (814) 224-2141

1086 Franklin St
Johnstown, PA 15905-4305

1086 Franklin St E
Johnstown, PA 15905-4305
Phone (814) 534-9104

1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194

1111 Franklin St
Johnstown, PA 15905-4341

530 S St
Suite 380
Greensburg, PA 15601-2775
Phone (724) 837-8959

861 Hills PLZ
Ebensburg, PA 15931-4211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 31, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Dec 23, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 17, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 31, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 17, 2020 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Steward Medical Group Inc. CurrentSince Mar 31, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 23, 2018 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients

Locations

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1353 E Market St
Warren, OH 44483
Phone (330) 399-3222

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 255-6781

530 South St
Ste 380
Greensburg, PA 15601
Phone (724) 261-5556

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
#M7
Johnstown, PA 15905
Phone (615) 920-7334

1086 Franklin St
Ste M7
Johnstown, PA 15905

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

252 S 4th St
#2
Lebanon, PA 17042
Phone (717) 270-3751

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: smavridis9633@direct.conemaugh.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1013912070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST FL 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-270-3751",
            "fax_number": "717-270-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_2": "M7",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-9407",
            "fax_number": "814-534-5059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Franklin St",
            "address_2": "M7",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-9407",
            "fax_number": "814-534-5059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVRIDIS",
        "first_name": "SAVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD063694L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019548830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.