Individual provider Active NPI

Darren E Dreyfus, D.O.

  • Nephrology Physician
  • Erie, PA
National Provider Identifier
1417958083
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS012098 Issued in PA
Practice address
311 W 24TH St
Suite 402
Erie, PA 16502-2665
Phone
(814) 453-6687
Fax
(814) 456-4676
NPI assigned
Aug 9, 2005
Last updated
Nov 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS012098 PA Primary

Addresses

Primary practice location

311 W 24TH St
Suite 402
Erie, PA 16502-2665

Mailing address

311 W 24TH St
Suite 402
Erie, PA 16502-2665
Phone (814) 453-6687

Other identifiers 4

IdentifierTypeStateIssuer
390008355OtherPAMEDICARE PALMETTO
314113OtherPAUPMC
0019246140002MedicaidPA
1394444OtherPAHIGHMARK PA BS

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
I20100916000375 PA Practitioner - NephrologyPractitioner - Internal Medicine 5395800163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology PCGroup PAC ID 2062409337, 6 clinicians

Practice addresses (Care Compare)

311 W 24TH St
Suite 402
Erie, PA 16502-2667
Phone (814) 453-6687

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology PC Nephrology CurrentSince Sep 1, 2002 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

311 W 24th St
Ste 402
Erie, PA 16502
Phone (814) 453-6687

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Interoperability endpoints

  • Direct secure messaging: darren.dreyfus@rkdc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJBAA

Organizations & group practices 1

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.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1417958083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 402",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-453-6687",
            "fax_number": "814-456-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 402",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-453-6687",
            "fax_number": "814-456-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUS",
        "first_name": "DARREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS012098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PALMETTO",
            "identifier": "390008355",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "314113",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019246140002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BS",
            "identifier": "1394444",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.