Individual provider Active NPI

Gregory Scott Engel, MD

  • Surgery Physician
  • Erie, PA
National Provider Identifier
1457352841
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD039912E Issued in PA
Practice address
300 State St Ste 107
Erie, PA 16507-1428
Phone
(814) 877-3900
Fax
(814) 877-3950
NPI assigned
Aug 9, 2005
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD039912E PA Primary

Addresses

Primary practice location

300 State St Ste 107
Erie, PA 16507-1428

Mailing address

300 State St Ste 107
Erie, PA 16507-1428
Phone (814) 877-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.s.engel@upmcdirect.com

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
I20050721000730 PA Practitioner - General Surgery 2163459017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039912EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Surgery CurrentSince May 27, 2005 Accepting new patients

Locations

104 E 2nd St
Erie, PA 16507
Phone (814) 455-4404

104 E 2nd St
Fl 5
Erie, PA 16507
Phone (814) 877-5560

300 State St
Ste 107
Erie, PA 16507
Phone (814) 877-3900

300 State St
Ste 401
Erie, PA 16507
Phone (814) 877-4577

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

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

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.

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": "1628553600000",
    "number": "1457352841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 107",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071428",
            "telephone_number": "814-877-3900",
            "fax_number": "814-877-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 107",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071428",
            "telephone_number": "814-877-3900",
            "fax_number": "814-877-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD039912E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.s.engel@upmcdirect.com",
            "affiliation": "N",
            "address_1": "300 State St Ste 107",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.