Active NPI
Robert R Concilus, M.D.
- Pain Medicine (Anesthesiology) Physician
- Meadville, PA
National Provider Identifier
1467496273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD027700E
- Practice address
- 1034 Grove St
Meadville, PA 16335-2945 - Phone
- (814) 333-5736
- Fax
- (814) 333-5819
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD027700E | PA | Primary |
Addresses
Primary practice location
1034 Grove St
Meadville, PA 16335-2945
Mailing address
463 Pine St
Meadville, PA 16335-2974
Phone (814) 333-5872
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011352490005 | Medicaid | PA | |
| 00002753 | Other | PA | UPMC HEALTH PLAN |
| 410609 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027700E | PA | MD | Pain Medicine (Anesthesiology) Physician |
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.
-
- Pain Medicine (Anesthesiology) Physician
- Meadville, PA
- NPI 1104852375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467496273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 PINE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352974",
"telephone_number": "814-333-5872",
"fax_number": "814-333-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-333-5736",
"fax_number": "814-333-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCILUS",
"first_name": "ROBERT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD027700E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011352490005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "00002753",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "410609",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
- Charles Patrick Cole, M.D.
- Community Birth Group
- Community Health Services (Meadville Dental Center)
- Compass Group USA, Inc. by & Through Its Bateman Division
- Comprehensive Pain Care Physicians
- Alex Confer, LPC
- Conneaut Valley Health Center Inc. (Meadville Community Health Center)
- Conneaut Valley Health Center Inc. (Conneaut Valley Mental Health)
- Lisa D. Conrad, DO
- Hannah Malka Cosdon, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.