Individual provider Active NPI

Caroline A Colleran, D.O.

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1033376553
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS015125 Issued in PA
Practice address
4950 Buffalo Rd
Erie, PA 16510-2304
Phone
(814) 898-2576
Fax
(570) 644-4241
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS015125 PA Primary

Addresses

Primary practice location

4950 Buffalo Rd
Erie, PA 16510-2304

Mailing address

4950 Buffalo Rd
Erie, PA 16510-2304
Phone (814) 898-2576

Other practice location 1

232 W 25th St
Erie, PA 16544-6227
Phone (814) 452-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccolleran148751@direct.ahn.org

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
I20100826000864 PA Practitioner - Emergency Medicine 1254455306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015125PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Ahn Observation Group LLC Emergency Medicine CurrentSince May 15, 2023 Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Locations

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Vincent Medical GroupCorry, PA, CCN 393889 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1033376553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-898-2576",
            "fax_number": "570-644-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-898-2576",
            "fax_number": "570-644-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165446227",
            "country_code": "US",
            "telephone_number": "814-452-5000",
            "fax_number": "814-452-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLERAN",
        "first_name": "CAROLINE",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS015125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccolleran148751@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4950 Buffalo Rd",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165102304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.