Active NPI
Rodolfo Arreola, MD
- Surgery Physician
- Erie, PA
National Provider Identifier
1174524946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD417031
- Practice address
- 5401 Peach Street
Suite 3600
Erie, PA 16509 - Phone
- (814) 868-2170
- Fax
- (814) 868-2108
- NPI assigned
- Aug 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD417031 | PA | Primary |
Addresses
Primary practice location
5401 Peach Street
Suite 3600
Erie, PA 16509
Mailing address
One Lecom Place
Erie, PA 16505-2571
Other practice location 1
965 Shamrock Ln
Corry, PA 16407-9121
Phone (814) 665-8288
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02495398 | Other | NY | NY MEDICAL ASSISTANCE |
| 1521644 | Other | PA | GATEWAY |
| 0018811600004 | Medicaid | PA | |
| 304080 | Other | PA | UPMC |
| 2433763 | Other | OH | OH MEDICAL ASSISTANCE |
| P00057889 | Other | PA | RR MEDICARE |
| 1068871 | Other | WV | WEST VIRGINIA WORK COMP |
| 1320956 | Other | PA | BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millcreek Community Hospital | Current | Accepting new patients | |
| Millcreek Community Hospital | Current | Accepting new patients |
Locations
5515 Peach St
Erie, PA 16509
Phone (814) 864-4031
1 Lecom Pl
Erie, PA 16505
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1609970284
-
- Psychologist
- Erie, PA
- NPI 1508198748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1174524946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE LECOM PLACE",
"city": "ERIE",
"state": "PA",
"postal_code": "165052571",
"fax_number": "814-868-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 PEACH STREET",
"address_2": "SUITE 3600",
"city": "ERIE",
"state": "PA",
"postal_code": "16509",
"telephone_number": "814-868-2170",
"fax_number": "814-868-2108"
}
],
"practiceLocations": [
{
"address_1": "965 Shamrock Ln",
"address_purpose": "LOCATION",
"city": "Corry",
"state": "PA",
"postal_code": "164079121",
"country_code": "US",
"telephone_number": "814-665-8288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARREOLA",
"first_name": "RODOLFO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD417031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAL ASSISTANCE",
"identifier": "02495398",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1521644",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018811600004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "304080",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAL ASSISTANCE",
"identifier": "2433763",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00057889",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA WORK COMP",
"identifier": "1068871",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1320956",
"state": "PA"
}
],
"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 May 12, 2023; 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.