Individual provider Active NPI

Sam R Voora, M.D.

  • Pediatrics Physician
  • Erie, PA
National Provider Identifier
1659350866
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD030372E Issued in PA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0009323530004MedicaidPA
443367OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MD030372EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.