Individual provider Active NPI

James Harry Kondolios, MD

  • Internal Medicine Physician
  • Warren, OH
National Provider Identifier
1073592663
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.073301 Issued in OH
Practice address
667 Eastland Ave SE
Warren, OH 44484-4503
Phone
(330) 841-2378
Fax
(330) 841-4667
NPI assigned
Jan 11, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.073301 OH Primary
Hospitalist Physician 208M00000X 35.073301 OH

Addresses

Primary practice location

667 Eastland Ave SE
Warren, OH 44484-4503

Mailing address

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-2378

Other identifiers 1

IdentifierTypeStateIssuer
2060808MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, DC, WA, VA, FL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20061120000526 OH Practitioner - Internal Medicine 2466439658 Reassigns benefits to 5 organizations
I20250917000435 MI Practitioner - Internal Medicine 2466439658 Reassigns benefits to 1 organization
I20250923002419 DC Practitioner - Internal Medicine 2466439658 Reassigns benefits to 1 organization
I20250923003659 WA Practitioner - Internal Medicine 2466439658 Reassigns benefits to 1 organization
I20251002001785 VA Practitioner - Internal Medicine 2466439658 Reassigns benefits to 1 organization
I20260129000779 FL Practitioner - Internal Medicine 2466439658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-2929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.073301OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Mercy Health Physicians Youngstown, LLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Firsthand Health of Michigan, P.C. CurrentSince Aug 12, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Firsthand Health of Florida PA CurrentSince Dec 23, 2025 Accepting new patients
Medical Associates of Warren, Inc. Internal Medicine Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Firsthand Health of Washington PC CurrentSince Aug 15, 2025 Accepting new patients
Medical Associates of Warren, Inc. Internal Medicine Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Hospitalist Current Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 1, 2018 Accepting new patients
Firsthand Health of Ohio CurrentSince Dec 24, 2025 Accepting new patients
Firsthand Health of Virginia PC CurrentSince Sep 9, 2025 Accepting new patients
Sharon Clinic Company LLC Internal Medicine Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

8384 Baymeadows Rd
Ste 4
Jacksonville, FL 32256
Phone (904) 776-5846

12540 NE 8th Ave
North Miami, FL 33161
Phone (786) 679-0955

1516 E Colonial Dr
Ste 203
Orlando, FL 32803
Phone (407) 419-0794

7445 Allen Rd
Ste 270
Allen Park, MI 48101
Phone (313) 920-6546

23077 Greenfield Rd
Ste 234
Southfield, MI 48075
Phone (248) 914-4604

524 Broadway
Fl 11
New York, NY 10012
Phone (201) 474-5844

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

3433 Agler Rd
Ste 2000B
Columbus, OH 43219
Phone (614) 269-3193

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

13201 Granger Rd
Ste 2
Garfield Hts, OH 44125
Phone (216) 316-4059

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

9371 E Market St
Ste 1A
Warren, OH 44484
Phone (330) 609-5277

9375 E Market St
Ste 2
Warren, OH 44484
Phone (330) 609-5277

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

8500 Executive Park Ave
Ste 404
Fairfax, VA 22031
Phone (202) 209-2049

1606 Santa Rosa Rd
Rm 109
Richmond, VA 23229
Phone (804) 461-7008

3603 Brambleton Ave
Ste C
Roanoke, VA 24018
Phone (540) 798-8319

1142 Broadway
Ste 200
Tacoma, WA 98402
Phone (253) 686-3626

Interoperability endpoints

  • Direct secure messaging: jkondolios35077@direct.bsmhealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1073592663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-2378",
            "fax_number": "330-841-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-2378",
            "fax_number": "330-841-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDOLIOS",
        "first_name": "JAMES",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.073301",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.073301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.