Active NPI
Frank X Pamelia, M.D.
- Interventional Cardiology Physician
- Newburgh, IN
National Provider Identifier
1073561254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01060164A
- Practice address
- 4007 Gateway Blvd
Ste100
Newburgh, IN 47630-8947 - Phone
- (812) 842-0907
- Fax
- (812) 490-5536
- NPI assigned
- May 4, 2006
- Last updated
- May 17, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01060164A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 39505 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 39505 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 01060164A | IN | Primary |
Addresses
Primary practice location
4007 Gateway Blvd
Ste100
Newburgh, IN 47630-8947
Mailing address
4015 Gateway Blvd Ste 2120
Newburgh, IN 47630-8925
Phone (812) 842-0907
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64101843 | Medicaid | KY | |
| P00240338 | Other | IN | RR MCR |
| 200307640 | Medicaid | IN | |
| 000000365348 | Other | ANTHEM | |
| P00351736 | Other | KY | RR MCR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39505 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Heart Hospital at Deaconess Gateway, LLC | Past | Accepting new patients | |
| Lake County and West Ekg Associates | Cardiovascular Disease | Past | Accepting new patients |
| Cardiovascular Consultants of Cleveland Inc | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71745
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Special Hospital
- Newburgh, IN
- NPI 1124292446
-
- Cardiovascular Disease Physician
- Mentor, OH
- NPI 1811943749
-
- Cardiovascular Disease Physician
- Painesville, OH
- NPI 1710946785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1073561254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD STE 2120",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-842-0907",
"fax_number": "812-464-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 GATEWAY BLVD",
"address_2": "STE100",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-842-0907",
"fax_number": "812-490-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMELIA",
"first_name": "FRANK",
"middle_name": "X",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01060164A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "39505",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "39505",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01060164A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64101843",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00240338",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200307640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000365348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00351736",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.