Individual provider Active NPI

Peter Kometiani, MD PHD

  • Cardiovascular Disease Physician
  • Canton, OH
National Provider Identifier
1780878447
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.093610 Issued in OH
Practice address
2600 Sixth St SW Ste 710
Canton, OH 44710-1702
Phone
(330) 454-8076
NPI assigned
Sep 5, 2007
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.093610 OH Primary

Addresses

Primary practice location

2600 Sixth St SW Ste 710
Canton, OH 44710-1702

Mailing address

951 Commerce Pkwy
Suite 101
Lima, OH 45804-4040
Phone (419) 998-4575

Other practice location 1

951 Commerce Pkwy
Suite 100
Lima, OH 45804-4040
Phone (419) 224-5915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090731000171 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294888707 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Toledo Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians
Aultman HospitalGroup PAC ID 3779485867, 41 clinicians
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

2600 6TH St SW
Canton, OH 44710-1799

603 Monroe St
Dover, OH 44622-2046
Phone (330) 364-8889

830 S Main St
Orrville, OH 44667-2291
Phone (330) 684-2015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100Reported as group
Quality
63.25
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35.093610OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Jul 7, 2017 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Apr 1, 2018 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC Cardiovascular Disease CurrentSince Jan 6, 2020 Accepting new patients
Triad Health Services, LLC Cardiovascular Disease CurrentSince Jul 1, 2025 Accepting new patients
Alliance Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Apr 7, 2018 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
The Union Hospital Association CurrentSince Jul 7, 2017 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 1, 2021 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Aultman Hospital Past Accepting new patients
Cardiovascular Consultants, Inc. Cardiovascular Disease Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

2600 6th St SW
Ste 710
Canton, OH 44710

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
Ste A2800
Canton, OH 44710

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1523 Walnut St
Coshocton, OH 43812
Phone (740) 255-5189

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

603 Monroe St
Ste 101
Dover, OH 44622

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

2037 Wales Ave NW
Ste 120
Massillon, OH 44646

1261 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-3000

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

830 S Main St
Orrville, OH 44667
Phone (330) 684-2015

830 S Main St
Ste 101
Orrville, OH 44667
Phone (330) 438-6333

830 S Main St
Ste 511
Orrville, OH 44667
Phone (330) 684-2015

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

250 Debartolo Pl
Ste 2750
Youngstown, OH 44512
Phone (330) 758-7703

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Interoperability endpoints

  • Direct secure messaging: peter.kometiani@direct.aultman.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1780878447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY",
            "address_2": "SUITE 101",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW STE 710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-454-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Commerce Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458044040",
            "country_code": "US",
            "telephone_number": "419-224-5915",
            "fax_number": "419-224-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMETIANI",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.093610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.