Active NPI
Sam R Voora, M.D.
- Pediatrics Physician
- Erie, PA
National Provider Identifier
1659350866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD030372E
- Practice address
- 232 W 25TH St
Erie, PA 16544-2665 - Phone
- (814) 452-5853
- Fax
- (814) 452-5583
- NPI assigned
- Jan 16, 2006
- Last updated
- Oct 14, 2020
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD030372E | PA | Primary |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-2665
Mailing address
153 E 13TH St Ste 1300
Erie, PA 16503-1035
Phone (814) 452-5853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009323530004 | Medicaid | PA | |
| 443367 | Other | PA | HIGHMARK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | svoora148967@direct.ahn.org |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD030372E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Medical Education and Research Institute Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- svoora148967@direct.ahn.org
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1659350866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 E 13TH ST STE 1300",
"city": "ERIE",
"state": "PA",
"postal_code": "165031035",
"telephone_number": "814-452-5853",
"fax_number": "814-452-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165442665",
"telephone_number": "814-452-5853",
"fax_number": "814-452-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOORA",
"first_name": "SAM",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD030372E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009323530004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "443367",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "svoora148967@direct.ahn.org",
"affiliation": "N",
"address_1": "232 W 25th St",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165442665",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.