Individual provider Active NPI

Abner Ocasio-Acevedo

  • Surgery Physician
  • Erie, PA
National Provider Identifier
1083149280
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD491572 Issued in PA
Practice address
300 State Street, 4TH Floor
Suite 401
Erie, PA 16507-1438
Phone
(814) 877-6111
Fax
(814) 877-6356
NPI assigned
Apr 25, 2017
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD491572 PA Primary

Addresses

Primary practice location

300 State Street, 4TH Floor
Suite 401
Erie, PA 16507-1438

Mailing address

300 State Street, 4TH Floor
Suite 401
Erie, PA 16507-1438
Phone (814) 877-6111

Other practice location 1

300 State Street, 4th Floor
Suite 401
Erie, PA 16507-1438
Phone (814) 877-4577

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
I20250930002207 PA Practitioner - General Surgery 3971009846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD491572PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Surgery CurrentSince Nov 1, 2025 Accepting new patients
Upmc Hamot Past Accepting new patients

Locations

300 State St
Ste 401
Erie, PA 16507
Phone (814) 877-4577

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Pittsburgh, PA 15203
Phone (412) 235-5300

Organizations & group practices 2

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 9

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1083149280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE STREET, 4TH FLOOR",
            "address_2": "SUITE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071438",
            "telephone_number": "814-877-6111",
            "fax_number": "814-877-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE STREET, 4TH FLOOR",
            "address_2": "SUITE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071438",
            "telephone_number": "814-877-6111",
            "fax_number": "814-877-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 State Street, 4th Floor",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165071438",
            "country_code": "US",
            "telephone_number": "814-877-4577",
            "fax_number": "814-455-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCASIO-ACEVEDO",
        "first_name": "ABNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD491572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.