NPIMap

Individual provider Active NPI

John Joseph Kalata, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1104824119
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S006220L Issued in PA
Practice address
404 E 8TH St
Erie, PA 16503-1204
Phone
(814) 454-1851
Fax
(814) 455-8313
NPI assigned
Jul 13, 2005
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S006220L PA Primary

Addresses

Primary practice location

404 E 8TH St
Erie, PA 16503-1204

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2507

Other identifiers 2

IdentifierTypeStateIssuer
675253OtherPAKEYSTONE
0010890100001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000338 PA Practitioner - Family Practice 5799951216 Reassigns benefits to 2 organizations
Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, 67 clinicians
Medical Associates of ErieGroup PAC ID 2769402783, 25 clinicians

Practice addresses (Care Compare)

2625 Parade St
Erie, PA 16504-2809
Phone (814) 452-6383

5401 Peach St
Suite 3500
Erie, PA 16509-2601
Phone (814) 868-2179

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S006220LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Family Medicine Current Accepting new patients
Medical Associates of Erie Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Jul 15, 2021 Accepting new patients
Medical Associates of Erie Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Millcreek Community Hospital Family Medicine CurrentSince Jul 15, 2021 Accepting new patients
Medical Associates of Erie Family Medicine Current Accepting new patients
Corry Memorial Hospital Association PastSince Jul 1, 2016 Accepting new patients
Kalata Family Practice Family Medicine Past Accepting new patients
Medical Associates of Erie Family Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

1 Lecom Pl
Erie, PA 16505

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

5401 Peach St
#3500
Erie, PA 16509
Phone (814) 868-2179

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f
  • Direct secure messaging: jkalata@maoeim-pa.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corry Memorial Hospital AssociationCorry, PA, CCN 391308 Hospital Corporate Director Feb 1, 2022
Corry Memorial Hospital AssociationCorry, PA, CCN 39Z308 Hospital Corporate Director Jan 1, 2025
Corry Memorial Hospital Rural Health ClinicCorry, PA, CCN 393435 Rural health clinic Corporate Director Jan 1, 2025
Union City Rural Health ClinicUnion City, PA, CCN 393446 Rural health clinic Corporate Director Jan 1, 2025
Clymer Rural Health ClinicClymer, NY, CCN 333414 Rural health clinic Corporate Director Feb 29, 2016

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1104824119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2507",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031204",
            "telephone_number": "814-454-1851",
            "fax_number": "814-455-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATA",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S006220L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "675253",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010890100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.