Individual provider Active NPI

Manuel F Forero, MD

  • Cardiovascular Disease Physician
  • Meadville, PA
National Provider Identifier
1073591715
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD050282L Issued in PA
Practice address
287 North St
Meadville, PA 16335-2521
Phone
(814) 337-2355
Fax
(814) 337-3751
NPI assigned
Jan 4, 2006
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD050282L PA Primary

Addresses

Primary practice location

287 North St
Meadville, PA 16335-2521

Mailing address

2315 Myrtle St Ste 190
Erie, PA 16502-4604
Phone (814) 453-7767

Other identifiers 1

IdentifierTypeStateIssuer
0014225600007MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mforero97133@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
I20040830000484 PA Practitioner - Cardiovascular Disease (Cardiology) 5890691661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Consultants in Cardiovascular DiseasesGroup PAC ID 7214124221, 27 clinicians

Practice addresses (Care Compare)

287 N St
Meadville, PA 16335-2521
Phone (814) 337-2355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Consultants in Cardiovascular Diseases Cardiovascular Disease CurrentSince Nov 1, 2010 Accepting new patients
Regional Health Services Inc Past Accepting new patients
Laser Eye Surgery of Erie, Inc PastSince Oct 21, 1998 Accepting new patients

Locations

315 York St
Corry, PA 16407
Phone (814) 664-8686

2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767

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

232 W 25th St
Ste Chf
Erie, PA 16544

287 North St
Meadville, PA 16335
Phone (814) 337-2355

2265 Market St
Ste B
Warren, PA 16365
Phone (814) 726-1122

Interoperability endpoints

  • Direct secure messaging: mforero97133@direct.ahn.org

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.

Hospital & facility affiliations 5

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1073591715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 190",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024604",
            "telephone_number": "814-453-7767",
            "fax_number": "814-454-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTH ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352521",
            "telephone_number": "814-337-2355",
            "fax_number": "814-337-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORERO",
        "first_name": "MANUEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD050282L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014225600007",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mforero97133@direct.ahn.org",
            "affiliation": "N",
            "address_1": "287 North St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163352521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.