Individual provider Active NPI

Eliza Mae Rono Poareo, MD

  • Family Medicine Physician
  • Ebensburg, PA
National Provider Identifier
1932737632
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481565 Issued in PA
Practice address
861 Hills PLZ Ste 140
Ebensburg, PA 15931-4211
Phone
(814) 471-9005
Fax
(814) 471-9007
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD481565 PA Primary

Addresses

Primary practice location

861 Hills PLZ Ste 140
Ebensburg, PA 15931-4211

Mailing address

861 Hills PLZ Ste 140
Ebensburg, PA 15931-4211
Phone (814) 471-9005

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
I20230715000444 PA Practitioner - Family Practice 6608290044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

861 Hills PLZ
Suite 140
Ebensburg, PA 15931-4211
Phone (814) 471-9005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481565PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Aug 25, 2023 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 25, 2023 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

861 Hills Plz
Ste 140
Ebensburg, PA 15931
Phone (814) 471-9005

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: epoareo39355@direct.conemaugh.org

Organizations & group practices 6

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 3

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1932737632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HILLS PLZ STE 140",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314211",
            "telephone_number": "814-471-9005",
            "fax_number": "814-471-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HILLS PLZ STE 140",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314211",
            "telephone_number": "814-471-9005",
            "fax_number": "814-471-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAREO",
        "first_name": "ELIZA MAE",
        "middle_name": "RONO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.