Individual provider Active NPI

Robert Lewis Maholic, DO

  • Interventional Cardiology Physician
  • Erie, PA
National Provider Identifier
1417925256
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS010899L Issued in PA
Practice address
120 E 2ND St FL 2
Erie, PA 16507-1579
Phone
(814) 456-8980
Fax
(814) 451-0443
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X OS010899L PA Primary
Cardiovascular Disease Physician 207RC0000X 241873-01 NY
Cardiovascular Disease Physician 207RC0000X OS010899L PA
Interventional Cardiology Physician 207RI0011X 241873-01 NY

Addresses

Primary practice location

120 E 2ND St FL 2
Erie, PA 16507-1579

Mailing address

120 E 2ND St FL 2
Erie, PA 16507-1579
Phone (814) 456-8980

Other practice location 1

15 S Main St Ste 110
Jamestown, NY 14701-6626
Phone (716) 483-2320

Other practice location 2

12 Center St Ste 4
Fredonia, NY 14063-1769
Phone (716) 672-8790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20060324000521 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4688681364 Reassigns benefits to 1 organization
I20070221000472 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4688681364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

12 Ctr St
Suite 4
Fredonia, NY 14063-1769
Phone (716) 672-8790

120 E 2ND St
Erie, PA 16507-1537

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

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

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241873-01NYMDInterventional Cardiology Physician
OS010899LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. Cardiovascular Disease CurrentSince Jun 1, 1997 Accepting new patients
Great Lakes Physician Practice PC Cardiovascular Disease CurrentSince Jun 10, 2020 Accepting new patients
Regional Health Services Inc CurrentSince Jan 1, 2018 Accepting new patients
Upmc Hamot Past Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

12 Center St
Ste 4
Fredonia, NY 14063
Phone (716) 672-8790

12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 679-2233

15 S Main St
Ste 110
Jamestown, NY 14701
Phone (716) 483-2320

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

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

333 State St
Ste 103
Erie, PA 16507

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: robert.l.maholic@upmcdirect.com
  • Direct secure messaging: rmaholic159452@upmc.direct-ci.com

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 10

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1417925256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 S Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147016626",
            "country_code": "US",
            "telephone_number": "716-483-2320",
            "fax_number": "716-484-2582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Center St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fredonia",
            "state": "NY",
            "postal_code": "140631769",
            "country_code": "US",
            "telephone_number": "716-672-8790",
            "fax_number": "716-484-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHOLIC",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "OS010899L",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "241873-01",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS010899L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "241873-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.