Active NPI
Gustav R Eles, DO
- Cardiovascular Disease Physician
- Coraopolis, PA
National Provider Identifier
1063474435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS005112L
- Practice address
- 995 Beaver Grade Road
Suite B
Coraopolis, PA 15108-2766 - Phone
- (412) 264-9500
- Fax
- (412) 264-8999
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | OS005112L | PA | Primary |
Addresses
Primary practice location
995 Beaver Grade Road
Suite B
Coraopolis, PA 15108-2766
Mailing address
995 Beaver Grade Rd Ste B2
Coraopolis, PA 15108-2766
Phone (412) 264-9500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810017484 | Medicaid | WV | |
| 1079909 | Medicaid | PA | |
| 1605U | Other | NC | BCBSNC |
| 2195413 | Medicaid | OH | |
| 0010799090027 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | geles21451@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005112L | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Son-X Imaging, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Indiana Healthcare Physician Services Inc | Cardiovascular Disease | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Pittsburgh Cardiac & Vascular Associates PC | Cardiovascular Disease | Past | Accepting new patients |
| West Penn Allegheny Health System Inc. | Past | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1821098260
-
- Internal Medicine Physician
- Indiana, PA
- NPI 1578523429
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Coraopolis, PA
- NPI 1578508867
-
- Diagnostic Radiology Physician
- Jeannette, PA
- NPI 1982650586
Cardiovascular Disease
-
- Oncology Clinic/Center
- Pittsburgh, PA
- NPI 1346489143
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1063474435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 BEAVER GRADE RD STE B2",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082766",
"telephone_number": "412-264-9500",
"fax_number": "412-264-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 BEAVER GRADE ROAD",
"address_2": "SUITE B",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082766",
"telephone_number": "412-264-9500",
"fax_number": "412-264-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELES",
"first_name": "GUSTAV",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "OS005112L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810017484",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1079909",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "1605U",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2195413",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010799090027",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "geles21451@direct.ahn.org",
"affiliation": "N",
"address_1": "995 Beaver Grade Road",
"address_2": "Suite B",
"city": "Coraopolis",
"state": "PA",
"country_code": "US",
"postal_code": "151082766",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.