NPIMap

Organization Active NPI

Metabolic Disease Associates, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Erie, PA
National Provider Identifier
1639119142
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
METABOLIC DISEASE ASSOCIATES, INC.
Practice address
240 W 11TH St
2ND Floor
Erie, PA 16501-1758
Phone
(814) 452-2218
Fax
(814) 452-4639
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Luis Felipe Aparicio, MDNPI 1508826926
Title
Owner/President
Phone
(814) 452-2218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

240 W 11TH St
2ND Floor
Erie, PA 16501-1758

Mailing address

240 W 11TH St
2ND Floor
Erie, PA 16501-1758
Phone (814) 452-2218

Other identifiers 3

IdentifierTypeStateIssuer
00074515580001MedicaidPA
68499OtherPAUNISON
CB5117OtherPARAIL RAOD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115000071 PA Part B Supplier - Clinic/Group Practice 5799686614 Receives reassigned benefits from 21 practitioners
Practice locations: Erie, PA
O20190712002940 PA DME Supplier - Physician - Podiatry 5799686614 Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

240 W 11th St
Ste 2
Erie, PA 16501
Phone (814) 452-2218

300 State St
Ste 204
Erie, PA 16507
Phone (814) 452-2218

252 W 25th St
Erie, PA 16544

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1639119142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-452-2218",
            "fax_number": "814-452-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-452-2218",
            "fax_number": "814-452-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC DISEASE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "APARICIO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "814-452-2218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00074515580001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "68499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RAOD MEDICARE",
            "identifier": "CB5117",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.