David Jonathan Kadouri, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD460312 Issued in PA

Practice address

100 Peach St Ste 300
Erie, PA 16507-1423

Phone

(814) 459-1851

NPI assigned

Jun 24, 2013

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.kadouri.1@28732.direct.athenahealth.com
• Direct secure messaging: dkadouri@lisl.medentdirect.com

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

• OB-GYN Associates of Erie, PC

  dba Doylestown Women's Health Center

  • Obstetrics & Gynecology Physician
  • Erie, PA
  • NPI 1497702294
  Medicare reassignment Care Compare group NPD
• Clinical Practice of Lecom Institute for Successful Living

  dba Rural Health Clinic of Ashtabula

  • Rural Health Clinic/Center
  • Ashtabula, OH
  • NPI 1356102859

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Clinical Practice of Lecom Institute for Successful Living

  dba LECOM Restorative Therapy

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1326921487
  NPD
• OB GYN Associates of Erie Laboratory LLC

  • Clinical Medical Laboratory
  • Erie, PA
  • NPI 1659817849
  NPD
• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  NPD (past)
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1487647590
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1215376223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOURI",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD460312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maciek Jurecki, MD
• Justin Stilson LLC (Justin Stilson, LPC)
• Justine Marut Schober MD (Justine Schober MD)
• Mohammad Kabir, DO
• Justin Kacyon, PHARMD
• Alicia Rose Kadunce
• Samantha Kaiser, ATC
• Kalata Family Practice
• John Joseph Kalata, DO
• Kaleidascope Inc

• Obstetrics & Gynecology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.

Verify at the official NPI Registry.