Individual provider Active NPI

Orestis Pappas, MD

  • Interventional Cardiology Physician
  • Erie, PA
National Provider Identifier
1831499342
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD449137 Issued in PA
Practice address
2315 Myrtle St Ste 190
Erie, PA 16502
Phone
(814) 453-7767
Fax
(814) 454-6667
NPI assigned
Oct 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD449137 PA
Cardiovascular Disease Physician 207RC0000X MD449137 PA
Interventional Cardiology Physician 207RI0011X MD449137 PA Primary

Addresses

Primary practice location

2315 Myrtle St Ste 190
Erie, PA 16502

Mailing address

2315 Myrtle St Ste 190
Erie, PA 16502-4604
Phone (814) 453-7767

Other identifiers 1

IdentifierTypeStateIssuer
102833704MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address opappas141020@direct.ahn.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130823000909 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476796434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Vincent Consultants in Cardiovascular DiseasesGroup PAC ID 7214124221, 27 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 190
Erie, PA 16502-4604
Phone (814) 453-7767

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting98
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449137PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Cardiovascular Disease CurrentSince Mar 4, 2019 Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

232 W 25th St
Ste Chf
Erie, PA 16544

2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

2265 Market St
Ste B
Warren, PA 16365
Phone (814) 726-1122

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

125 N Franklin Dr
Ste 1
Washington, PA 15301
Phone (724) 225-6500

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.

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": "1288483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1831499342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 190",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024604",
            "telephone_number": "814-453-7767",
            "fax_number": "814-454-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 190",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16502",
            "telephone_number": "814-453-7767",
            "fax_number": "814-454-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "ORESTIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-31",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD449137",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD449137",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD449137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102833704",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opappas141020@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste 190",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.