NPIMap

Individual provider Active NPI

Charis A Venditti, MD

  • Obstetrics & Gynecology Physician
  • Erie, PA
National Provider Identifier
1114238458
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD452185 Issued in PA
Practice address
2315 Myrtle St Ste 290
Erie, PA 16502-4609
Phone
(814) 879-6636
Fax
(814) 452-5015
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD452185 PA
Obstetrics & Gynecology Physician 207V00000X MD452185 PA Primary

Addresses

Primary practice location

2315 Myrtle St Ste 290
Erie, PA 16502-4609

Mailing address

2315 Myrtle St Ste 290
Erie, PA 16502-4609
Phone (814) 879-6636

Other identifiers 2

IdentifierTypeStateIssuer
13682717OtherCAQH
103092359MedicaidPA

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
I20160212002011 PA Practitioner - Surgical OncologyPractitioner - Obstetrics/Gynecology 4587968458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 290
Erie, PA 16502-4609
Phone (814) 879-6636

4815 Liberty Ave
Suite 145
Pittsburgh, PA 15224-2156
Phone (412) 578-4341

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Grove City Medical Center Hospital, Grove City, PA, CCN 390266
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy13
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452185PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Mar 1, 2021 Accepting new patients
St Vincent Medical Education and Research Institute Inc Surgical Oncology CurrentSince Dec 1, 2024 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Allegheny Clinic Surgical Oncology CurrentSince Dec 1, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

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

2315 Myrtle St
Ste 290
Erie, PA 16502
Phone (814) 454-1142

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

647 N Broad Street Ext
Ste 205
Grove City, PA 16127
Phone (724) 450-7004

100 Excela Health Dr
Ste 202
Latrobe, PA 15650
Phone (724) 537-7100

8775 Norwin Ave
North Huntingdon, PA 15642
Phone (724) 527-8031

4815 Liberty Ave
Ste 145
Pittsburgh, PA 15224
Phone (412) 578-4311

Interoperability endpoints

  • Direct secure messaging: charis.venditti@hca6.eclinicaldirectplus.com
  • Direct secure messaging: cvenditti82449@direct.ahn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1114238458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 290",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024609",
            "telephone_number": "814-879-6636",
            "fax_number": "814-452-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 290",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024609",
            "telephone_number": "814-879-6636",
            "fax_number": "814-452-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDITTI",
        "first_name": "CHARIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD452185",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD452185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13682717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103092359",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.