Active NPI
James Harry Kondolios, MD
- Internal Medicine Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.073301
- 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, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060808 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI, DC, WA, VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.073301 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Medical Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown, LLC | Internal Medicine | Current | Accepting new patients |
| Firsthand Health of Michigan, P.C. | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Firsthand Health of Florida PA | Current | Accepting new patients | |
| Medical Associates of Warren, Inc. | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Firsthand Health of Washington PC | Current | 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 | Current | Accepting new patients | |
| Firsthand Health of Ohio | Current | Accepting new patients | |
| Firsthand Health of Virginia PC | Current | 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
- 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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
Hospitalist
-
- General Practice Physician
- Cleveland, OH
- NPI 1780348185
-
- Internal Medicine Physician
- Hudson, OH
- NPI 1093756314
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
Internal Medicine
-
- General Practice Physician
- Jacksonville, FL
- NPI 1316685605
-
- General Practice Physician
- Allen Park, MI
- NPI 1184402745
-
- General Practice Physician
- Tacoma, WA
- NPI 1649058215
-
- Internal Medicine Physician
- Akron, OH
- NPI 1508288531
-
- Internal Medicine Physician
- Warren, OH
- NPI 1336320548
-
- Internal Medicine Physician
- Warren, OH
- NPI 1649450032
-
dba Mercy Health - Boardman Orthopaedics
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Health Center
- Clinical Medical Laboratory
- Warren, OH
- NPI 1538233309
Hospital
-
dba Mercy Health St Joseph Warren Hospital
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.