Individual provider Active NPI

Daniel J Kinem, DO

  • Neurology Physician
  • Erie, PA
National Provider Identifier
1043478639
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS014872 Issued in PA
Practice address
120 E 2ND St
3Rd Floor
Erie, PA 16507-1537
Phone
(814) 877-8000
Fax
(814) 452-2210
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS014872 PA Primary

Addresses

Primary practice location

120 E 2ND St
3Rd Floor
Erie, PA 16507-1537

Mailing address

120 E 2ND St
3Rd Floor
Erie, PA 16507-1537
Phone (814) 877-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.kinem@upmcdirect.com

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
I20110715000536 PA Practitioner - Neurology 0840468971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Upmc Northwest Hospital, Seneca, PA, CCN 390091

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014872PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Neurology CurrentSince Jan 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2013 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Neurology CurrentSince Feb 1, 2013 Accepting new patients
Upmc Hamot Past Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

120 E 2nd St
Fl 3
Erie, PA 16507
Phone (814) 877-4600

201 State St
Erie, PA 16550
Phone (814) 877-2137

3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: dkinem138390@upmc.direct-ci.com

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.

Hospital & facility affiliations 6

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1043478639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-877-8000",
            "fax_number": "814-452-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-877-8000",
            "fax_number": "814-452-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINEM",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS014872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.kinem@upmcdirect.com",
            "affiliation": "N",
            "address_1": "120 E 2nd St",
            "address_2": "3rd Floor",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.