Active NPI
Mario Kinsella
- Pulmonary Disease Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-046952-L
- Practice address
- 2500 W 12TH St Ste C
Suite C
Erie, PA 16505-4500 - Phone
- (814) 877-8730
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD-046952-L | PA | Primary |
Addresses
Primary practice location
2500 W 12TH St Ste C
Suite C
Erie, PA 16505-4500
Mailing address
2500 W 12TH St Ste C
Suite C
Erie, PA 16505-4500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mario.kinsella@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
2500 W 12TH St
Erie, PA 16505-4500
Phone (814) 838-0491
3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381
Hospital & facility affiliations
- Upmc Hamot
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.89 of 100
- Quality
- 65.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-046952-L | PA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Current | Accepting new patients | |
| West Penn Allegheny Health System, Inc. | Pulmonary Disease | Past | Accepting new patients |
| Butler Medical Providers | Past | Accepting new patients |
Locations
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
2500 W 12th St
Ste C
Erie, PA 16505
Phone (814) 877-8730
1781 W 26th St
Erie, PA 16508
Phone (814) 454-5896
201 State St
Erie, PA 16550
Phone (814) 877-2137
2 Hot Metal St
Ste 1
Pittsburgh, PA 15203
Interoperability endpoints
- mkinsella138864@upmc.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Pulmonary Disease Physician
- Pittsburgh, PA
- NPI 1700826336
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1790787547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W 12TH ST STE C",
"address_2": "SUITE C",
"city": "ERIE",
"state": "PA",
"postal_code": "165054500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W 12TH ST STE C",
"address_2": "SUITE C",
"city": "ERIE",
"state": "PA",
"postal_code": "165054500",
"telephone_number": "814-877-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSELLA",
"first_name": "MARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2021-04-06",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD-046952-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mario.kinsella@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"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 Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.