NPIMap

Individual provider Active NPI

Brian Vincent Viviano, DO

  • Gastroenterology Physician
  • Erie, PA
National Provider Identifier
1497984512
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS015368 Issued in PA
Practice address
2010 W 38TH St Uppr Level
Erie, PA 16508-2004
Phone
(814) 866-6835
Fax
(814) 866-6837
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS015368 PA Primary

Addresses

Primary practice location

2010 W 38TH St Uppr Level
Erie, PA 16508-2004

Mailing address

1 Lecom PL
Erie, PA 16505-2571

Other practice location 1

965 Shamrock Ln
Corry, PA 16407-9121
Phone (814) 665-8288

Other identifiers 3

IdentifierTypeStateIssuer
003151031OtherPAHIGHMARK
P01637821OtherPARR MEDICARE
1030065750001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000906 PA Practitioner - Gastroenterology 3476871864 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of ErieGroup PAC ID 2769402783, 25 clinicians
Corry Memorial Hospital AssociationGroup PAC ID 3971581174, 30 clinicians

Practice addresses (Care Compare)

2010 W 38TH St
Erie, PA 16508-2004
Phone (814) 868-5481

965 Shamrock LN
Corry, PA 16407-9121

Hospital & facility affiliations

  • Lecom Medical Center and Behavioral Health Pav Hospital, Erie, PA, CCN 390198
  • Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015368PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corry Memorial Hospital Association CurrentSince Nov 20, 2025 Accepting new patients
Medical Associates of Erie CurrentSince Jun 1, 2015 Accepting new patients
Medical Associates of Erie CurrentSince May 7, 2023 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Jun 1, 2015 Accepting new patients
Corry Memorial Hospital Association Past Accepting new patients
Millcreek Community Hospital Gastroenterology PastSince May 7, 2023 Accepting new patients

Locations

300 York St
Corry, PA 16407
Phone (814) 664-3979

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

2010 W 38th St
Erie, PA 16508
Phone (814) 866-3986

5401 Peach St
Ste 3600
Erie, PA 16509
Phone (814) 868-2170

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

1 Lecom Pl
Erie, PA 16505

2010 W 38th St
Uppr
Erie, PA 16508
Phone (814) 866-3986

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

Interoperability endpoints

  • Direct secure messaging: bviviano@maoeim-pa.direct.office.nextgen.com
  • Direct secure messaging: brian.viviano.1@10044.direct.athenahealth.com

Organizations & group practices 12

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1497984512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 38TH ST UPPR LEVEL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082004",
            "telephone_number": "814-866-6835",
            "fax_number": "814-866-6837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Shamrock Ln",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164079121",
            "country_code": "US",
            "telephone_number": "814-665-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIANO",
        "first_name": "BRIAN",
        "middle_name": "VINCENT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS015368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "003151031",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01637821",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030065750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.