Individual provider Active NPI

Joseph Carvelli

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1104880509
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039812L Issued in PA
Practice address
1101 Peninsula Dr Ste 202
Suite 202 and 203
Erie, PA 16505-4169
Phone
(814) 833-5381
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 MD039812L PA Primary

Addresses

Primary practice location

1101 Peninsula Dr Ste 202
Suite 202 and 203
Erie, PA 16505-4169

Mailing address

1101 Peninsula Dr Ste 202
Suite 202 and 203
Erie, PA 16505-4169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.a.carvelli@upmcdirect.com UPMC

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
I20091217000237 PA Practitioner - Family Practice 7214077593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
82.26
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Family Medicine CurrentSince Mar 31, 2012 Accepting new patients
Epn Hamot Urgent Care LLC Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Erie Physicians Network-Upmc,Inc Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Erie Physicians Network, PC Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients

Locations

2059 W 8th St
Erie, PA 16505
Phone (814) 459-6667

215 Holland St
Erie, PA 16507
Phone (814) 453-5058

7200 Peach St
Unit 16
Erie, PA 16509
Phone (814) 860-3301

3535 Pine Ave
Erie, PA 16504
Phone (814) 454-3363

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

1101 Peninsula Dr
Ste 202
Erie, PA 16505
Phone (814) 833-5381

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

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1104880509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR STE 202",
            "address_2": "SUITE 202 AND 203",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR STE 202",
            "address_2": "SUITE 202 AND 203",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054169",
            "telephone_number": "814-833-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVELLI",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-03-25",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039812L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.a.carvelli@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.