Active NPI
Makkalon Em, MD
- Surgery Physician
- Saint Marys, PA
National Provider Identifier
1801039441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD455835
- Practice address
- 761 Johnsonburg Rd Ste 240
Saint Marys, PA 15857-3480 - Phone
- (814) 781-1188
- Fax
- (814) 781-6828
- NPI assigned
- Apr 13, 2009
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD455835 | PA | Primary |
Addresses
Primary practice location
761 Johnsonburg Rd Ste 240
Saint Marys, PA 15857-3480
Mailing address
761 Johnsonburg Rd Ste 240
Saint Marys, PA 15857-3480
Phone (814) 781-8189
Other practice location 1
250 W Main St
Ridgway, PA 15853-1611
Phone (814) 781-8189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD455835 | Other | PA | PA LICENSE |
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
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W Main St
Ridgway, PA 15853-1611
Phone (814) 781-8189
Hospital & facility affiliations
- Penn Highlands Elk
- Penn Highlands Dubois
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 19 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD455835 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Du Bois, PA
- NPI 1508046814
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Maternal & Fetal Medicine Physician
- Du Bois, PA
- NPI 1033213608
Hospital
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- Endocrinology, Diabetes & Metabolism Physician
- Du Bois, PA
- NPI 1245341387
Hospital
-
- General Acute Care Hospital
- Clearfield, PA
- NPI 1316537228
-
- Cardiovascular Disease Physician
- Punxsutawney, PA
- NPI 1407941305
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1801039441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG RD STE 240",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573480",
"telephone_number": "814-781-8189",
"fax_number": "814-781-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG RD STE 240",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573480",
"telephone_number": "814-781-1188",
"fax_number": "814-781-6828"
}
],
"practiceLocations": [
{
"address_1": "250 W Main St",
"address_purpose": "LOCATION",
"city": "Ridgway",
"state": "PA",
"postal_code": "158531611",
"country_code": "US",
"telephone_number": "814-781-8189",
"fax_number": "814-781-6828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EM",
"first_name": "MAKKALON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD455835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "MD455835",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, PA
- Elk Regional Professional Group, Inc.
- Elk Regional Professional Group, Inc.
- Elk Regional Professional Group, Inc.
- Elk Regional Professional Group, Inc.
- Elk Regional Professional Group, Inc.
- Ted Brubaker Eshbach, M.D.
- Fatula Family Eyecare
- Debra Faucher, CRNA
- Robert Allen Fry
- Laura Elizabeth Gardner, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.