Christopher J Colosimo, D.O.
Individual provider Active NPI Hospitalist Physician · Seneca, PA
NPI 1376546952 · NPPES record last updated Apr 21, 2020
Key facts
- NPI
- 1376546952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- OS012365 (PA)
- Practice address
- 100 Fairfield Dr
Seneca, PA 16346-2130 - Phone
- (814) 676-7863
- Fax
- (814) 676-7975
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Drexel University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Services Inc
Practice addresses (Care Compare)
100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203
3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381
Hospital & facility affiliations
- Upmc Northwest
- Upmc Northwest Transitional Care Unit
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.89 of 100
- Quality
- 65.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827000097 | PA | Practitioner - Family Practice | 8123093879 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012365 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Family Medicine | Current |
Accepting new patients |
| Upmc Northwest | Past | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Past | Accepting new patients |
Locations
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
Interoperability endpoints
- ccolosimo@direct.excelahealth.org
- ccolosimo63166@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS012365 | PA | |
| Hospitalist Physician | 208M00000X | OS012365 | PA | Yes |
Addresses
Primary practice location
100 Fairfield Dr
Seneca, PA 16346-2130
Mailing address
100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7863
Other providers in Seneca, PA
- Julie Lynne Carothers
- Claudia J Chapa Garcia
- Chest Medicine Associates
- Childrens Community Care
- Sheena Clark
- Cynthia Michelle Comiske
- Community Hospitalist of Pennsylvania Inc
- Erin Concannon-Fink
- Robert Conley
- Jenifer L Corbett
All providers in Seneca, PA · Hospitalist Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.