Individual provider Active NPI

Ryan C Kobylinski, D.O.

  • Psychiatry Physician
  • Erie, PA
National Provider Identifier
1043374218
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS014706 Issued in PA
Practice address
232 W 25TH St # 3R
Erie, PA 16544-7976
Phone
(814) 452-5530
Fax
(814) 452-5419
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS014706 PA Primary

Addresses

Primary practice location

232 W 25TH St # 3R
Erie, PA 16544-7976

Mailing address

2445 W 34TH St
Erie, PA 16506-3599
Phone (814) 835-7621

Other practice location 1

2445 W 34th St
Erie, PA 16506-3599
Phone (814) 835-7621

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
I20110325000033 PA Practitioner - Psychiatry 8022105857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

232 W 25TH St
Erie, PA 16544-0002

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014706PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah a. Reed Children'S Center CurrentSince Jan 17, 2022 Accepting new patients
St Vincent Medical Education and Research Institute Inc Psychiatry CurrentSince Oct 29, 2021 Accepting new patients
Presque Isle Psychiatric Associates Psychiatry Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

2445 W 34th St
Erie, PA 16506
Phone (814) 835-7621

232 W 25th St
#3R
Erie, PA 16544
Phone (814) 452-5530

232 W 25th St
Ste 3R
Erie, PA 16544

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

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.

Hospital & facility affiliations 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1043374218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W 34TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063599",
            "telephone_number": "814-835-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST # 3R",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165447976",
            "telephone_number": "814-452-5530",
            "fax_number": "814-452-5419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 W 34th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165063599",
            "country_code": "US",
            "telephone_number": "814-835-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBYLINSKI",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS014706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.