Active NPI
Joshua Stelmack, DO
- Internal Medicine Physician
- Erie, PA
National Provider Identifier
1124519616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS020250
- Practice address
- 5515 Peach St
Erie, PA 16509-2603 - Phone
- (814) 864-4031
- NPI assigned
- May 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT018237 | PA | |
| Internal Medicine Physician | 207R00000X | OS020250 | PA | Primary |
Addresses
Primary practice location
5515 Peach St
Erie, PA 16509-2603
Mailing address
1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2507
Other practice location 1
965 Shamrock Ln
Corry, PA 16407
Phone (814) 664-4641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191028003196 | PA | Practitioner - Internal Medicine | 6002163243 | Reassigns benefits to 5 organizations |
| I20231006000619 | NY | Practitioner - Internal Medicine | 6002163243 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corry Memorial Hospital Association
Practice addresses (Care Compare)
354 Clymer Corry Rd
Clymer, NY 14724-9701
Phone (716) 355-2248
965 Shamrock LN
Corry, PA 16407-9121
Phone (814) 664-4641
Hospital & facility affiliations
- Lecom Health Corry Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corry Memorial Hospital Association | Current | Accepting new patients | |
| Corry Memorial Hospital Association | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Ahn Emergency Group of Erie County LTD. | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients | |
| Corry Memorial Hospital Association | Current | Accepting new patients |
Locations
354 Clymer Corry Rd
Clymer, NY 14724
Phone (716) 355-2248
965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641
5515 Peach St
Erie, PA 16509
Phone (814) 864-4031
1 Lecom Pl
Erie, PA 16505
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
Interoperability endpoints
- joshua.stelmack.1@10044.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Rural Health Clinic/Center
- Corry, PA
- NPI 1124406376
-
- Rural Health Clinic/Center
- Union City, PA
- NPI 1255967956
-
- Medicare Defined Swing Bed Hospital Unit
- Corry, PA
- NPI 1851369938
-
- Psychologist
- Erie, PA
- NPI 1508198748
-
- General Acute Care Hospital
- Erie, PA
- NPI 1548263973
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": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1124519616",
"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": "5515 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092603",
"telephone_number": "814-864-4031"
}
],
"practiceLocations": [
{
"address_1": "965 Shamrock Ln",
"address_purpose": "LOCATION",
"city": "Corry",
"state": "PA",
"postal_code": "16407",
"country_code": "US",
"telephone_number": "814-664-4641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STELMACK",
"first_name": "JOSHUA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT018237",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS020250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.