Individual provider Active NPI

Rick Fornelli, M.D.

  • Otolaryngology Physician
  • Erie, PA
National Provider Identifier
1316998263
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD072365L Issued in PA
Practice address
380 E Bayfront Pkwy Ste 3
Erie, PA 16507-2408
Phone
(814) 877-9060
Fax
(814) 877-9089
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD072365L PA Primary

Addresses

Primary practice location

380 E Bayfront Pkwy Ste 3
Erie, PA 16507-2408

Mailing address

380 E Bayfront Pkwy Ste 3
Erie, PA 16507-2408
Phone (814) 877-9060

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
I20110119001072 PA Practitioner - Otolaryngology 3173667482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072365LPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists of Northwestern Pennsylvania Otolaryngology CurrentSince Nov 1, 2000 Accepting new patients
Regional Health Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Family Health Medical Services PLLC PastSince Mar 1, 2013 Accepting new patients
Ear Nose and Throat Specialists of Northwestern Pennsylvania PastSince Nov 1, 2000 Accepting new patients
Westfield Memorial Hospital, Inc. Past Accepting new patients

Locations

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1645 W 8th St
#200
Erie, PA 16505
Phone (814) 864-9994

380 E Bayfront Pkwy
Ste 3
Erie, PA 16507
Phone (814) 877-9060

1645 W 8th St
Ste 200
Erie, PA 16505
Phone (814) 864-9994

3580 Peach St
Erie, PA 16508
Phone (814) 864-9994

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: rick.a.fornelli@upmcdirect.com
  • Direct secure messaging: rickfornelli@entsnwpa.allscriptsdirect.net
  • Direct secure messaging: rfornelli92616@upmc.direct-ci.com

Organizations & group practices 5

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 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1316998263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E BAYFRONT PKWY STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072408",
            "telephone_number": "814-877-9060",
            "fax_number": "814-877-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E BAYFRONT PKWY STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072408",
            "telephone_number": "814-877-9060",
            "fax_number": "814-877-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNELLI",
        "first_name": "RICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD072365L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.