Active NPI
Tannous K Fakhry, MD
- Surgery Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD466712
- Practice address
- 145 W 23Rd St Ste 303
Erie, PA 16502-2858 - Phone
- (814) 452-7800
- Fax
- (814) 452-7915
- NPI assigned
- Jul 21, 2010
- 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 | MD466712 | PA | Primary |
Addresses
Primary practice location
145 W 23Rd St Ste 303
Erie, PA 16502-2858
Mailing address
145 W 23Rd St Ste 303
Erie, PA 16502-2858
Phone (814) 452-7800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tfakhry238459@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 W 23Rd St
303 SV Bariatrics and Metabolic
Erie, PA 16502-2858
Phone (814) 452-7800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD466712 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Medical Education and Research Institute Inc | Surgery | Current | Accepting new patients |
| Saint Vincent Health Center | Past | Accepting new patients |
Locations
155 E State St
Albion, PA 16401
Phone (814) 756-4917
153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081
145 W 23rd St
Ste 303
Erie, PA 16502
Phone (814) 452-7800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Surgery
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1962715821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 303",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-452-7800",
"fax_number": "814-452-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 303",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-452-7800",
"fax_number": "814-452-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHRY",
"first_name": "TANNOUS",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-21",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD466712",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tfakhry238459@direct.ahn.org",
"affiliation": "N",
"address_1": "145 W 23rd St Ste 303",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165022858",
"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 Oct 1, 2020; 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.