Individual provider Active NPI

Vivian I Starr, DO

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1851389282
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34007057 Issued in OH
Practice address
602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653
Phone
(330) 747-8611
NPI assigned
Oct 10, 2005
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34007057 OH Primary

Addresses

Primary practice location

602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653

Mailing address

602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653
Phone (330) 747-8611

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
I20040630000193 OH Practitioner - Internal Medicine 2264419134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653
Phone (330) 747-8611

7629 Market St
Youngstown, OH 44512-6051

8401 Market St
Youngstown, OH 44512-6725
Phone (330) 729-2929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7057OHMDPsychologist
34007057OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Internal Medicine CurrentSince Jul 20, 2020 Accepting new patients
Select Specialty Hospital - Youngstown Inc Past Accepting new patients
Addison Leasing Co., LLC Past Accepting new patients
Addison Leasing Co., LLC Past Accepting new patients
Associates Family Foot Care, LLC Past Accepting new patients
Park Vista SNF Ops, LLC Past Accepting new patients
S Meridian Leasing Co., LLC Past Accepting new patients
Associates Family Foot Care, LLC Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Integrative Medical Centers of Ohio Inc PastSince Aug 1, 2005 Accepting new patients
Select Specialty Hospital - Boardman, Inc. Past Accepting new patients

Locations

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

1044 Belmont Ave
#4
Youngstown, OH 44504

602 Parmalee Ave
Ste 400
Youngstown, OH 44510
Phone (330) 747-8611

7067 Tiffany Blvd
Ste 250
Youngstown, OH 44514
Phone (330) 726-4500

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

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

Interoperability endpoints

  • Direct secure messaging: vstarr34959@direct.bsmhealth.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Addison Healthcare CenterMasury, OH, CCN 365991 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2023
Sep 1, 2023
Austintown Healthcare CenterYoungstown, OH, CCN 365732 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2020
Apr 17, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1851389282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PARMALEE AVE",
            "address_2": "SUITE 400",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101653",
            "telephone_number": "330-747-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PARMALEE AVE",
            "address_2": "SUITE 400",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101653",
            "telephone_number": "330-747-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "VIVIAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.