Individual provider Active NPI

Maribelle Gauna-Estrada, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Erie, PA
National Provider Identifier
1093887200
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD418267 Issued in PA
Practice address
213 E 41St St
Erie, PA 16504-2009
Phone
(814) 864-4987
Fax
(814) 866-1130
NPI assigned
Nov 14, 2006
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD418267 PA Primary

Addresses

Primary practice location

213 E 41St St
Erie, PA 16504-2009

Mailing address

213 E 41St St
Erie, PA 16504-2009
Phone (814) 864-4987

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgaunaestrada148791@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
I20040504000861 PA Practitioner - Internal Medicine 9335137785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

213 E 41St St
Glenwood Family Medicine
Erie, PA 16504-2009
Phone (814) 864-4987

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Jul 3, 2017 Accepting new patients
Regional Health Services Inc PastSince Jul 24, 1990 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600

145 W 23rd St
Ste 302A
Erie, PA 16502
Phone (814) 835-3751

213 E 41st St
Erie, PA 16504
Phone (814) 452-5772

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

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

2501 W 12th St
Ste C10
Erie, PA 16505
Phone (814) 580-5600

Interoperability endpoints

  • Direct secure messaging: mgaunaestrada148791@direct.ahn.org

Organizations & group practices 4

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 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1093887200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E 41ST ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042009",
            "telephone_number": "814-864-4987",
            "fax_number": "814-866-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E 41ST ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042009",
            "telephone_number": "814-864-4987",
            "fax_number": "814-866-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUNA-ESTRADA",
        "first_name": "MARIBELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD418267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgaunaestrada148791@direct.ahn.org",
            "affiliation": "N",
            "address_1": "213 E 41st St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165042009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.