Individual provider Active NPI

Patricia Dizon Salvador, M.D.

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1194037093
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD454395 Issued in PA
Practice address
2314 Sassafras St
Ste 310
Erie, PA 16502-2722
Phone
(814) 456-6194
Fax
(814) 452-5777
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.023824 OH
Internal Medicine Physician 207R00000X MD454395 PA Primary

Addresses

Primary practice location

2314 Sassafras St
Ste 310
Erie, PA 16502-2722

Mailing address

2314 Sassafras St Ste 310
Erie, PA 16502-2721
Phone (814) 456-6194

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psalvador148927@direct.ahn.org

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
I20150915002537 PA Practitioner - Infectious Disease 0244466902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

232 W 25TH St
Erie, PA 16544-0002

Hospital & facility affiliations

  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.023824OHMDInternal Medicine Physician
MD454395PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Internal Medicine CurrentSince Aug 11, 2015 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Saint Vincent Medical Education and Research Institute PastSince Oct 11, 2020 Accepting new patients

Locations

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

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

2314 Sassafras St
Ste 310
Erie, PA 16502
Phone (814) 456-6194

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

Organizations & group practices 4

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 2

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1194037093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST STE 310",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022721",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "STE 310",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022722",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "PATRICIA",
        "middle_name": "DIZON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.023824",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD454395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psalvador148927@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2314 Sassafras St",
            "address_2": "Ste 310",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.