PENNSYLVANIA WESTERN UNIVERSITY
NPI 1033919097
Internal Medicine - Infectious Disease in Clarion, PA

Q: What is Pennsylvania Western University's NPI number?

The NPI number for Pennsylvania Western University is 1033919097. It was assigned to this organization in the NPPES registry on March 18, 2025.

Q: What is Pennsylvania Western University's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since March 18, 2025CLIA 39D2052664 · Waiver

1008 S 5TH AVE, CLARION, PA 16214(814) 297-8220(814) 297-8381 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Mar 18, 2025 (2 updates tracked since 2025).

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About Pennsylvania Western University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNSYLVANIA WESTERN UNIVERSITY (NPI 1033919097) is a healthcare organization registered as an infectious disease in Clarion, Pennsylvania and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through January 15, 2027, maintains a secondary practice location in Erie, and lists Elizabeth Rae Kundick, Fiscal Technician, as its authorized official.

NPPES Registry Identity

NPI1033919097

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NamePENNSYLVANIA WESTERN UNIVERSITY

Location Address1008 S 5TH AVEClarion, PA 16214-8676

Mailing Address1008 S 5th AveClarion, PA 16214-8676 · (814) 297-8220 · Fax (814) 297-8381

Phone(814) 297-8220

Fax(814) 297-8381

Organization SubpartNo

Authorized OfficialElizabeth Rae KundickFiscal Technician · (814) 297-8220

Enumeration DateMarch 18, 2025

Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1033919097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1008 S 5TH AVE, Clarion, PA 16214

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Secondary Practice Location 1

Location 1801 State St Fl 2Erie, PA 16501-1363 · Phone (814) 454-3811 · Fax (814) 454-3422

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pennsylvania Western University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pennsylvania Western University, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Carol Encarnacion, M.D., M.P.H.

Infectious Disease

NPI 1407844319

764 KENNEDY ST SUITE 101
Meadville, PA 16335

(814) 373-2195

✔ PECOS50 mi

Elias Shattahi, M.D.

Internal Medicine

NPI 1245495605

1307 FEDERAL ST
Pittsburgh, PA 15212

(412) 359-3360

✔ PECOS✔ Accepts Medicare61 mi

Zahida Bhatti, MD

Infectious Disease

NPI 1932208584

1202 STATE STREET
Erie, PA 16501

(814) 454-4530

✔ PECOS✔ Accepts Medicare73 mi

Jill Fuller, MSN, CNP

Nurse Practitioner

NPI 1033223631

1001 STATE ST STE 606
Erie, PA 16501

(814) 454-3811

✔ PECOS✔ Accepts Medicare73 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2052664

Pennsylvania Western University · Clarion, PA

Active · expires Jan 15, 2027

CLIA Number39D2052664

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 16, 2025

Certificate Expiration DateJanuary 15, 2027

Laboratory DirectorDr. Elias Shattahi

Laboratory Phone(814) 297-8220

Laboratory LocationPennsylvania Western University1008 S 5th Ave Suite 201, Clarion, PA 16214

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsylvania Western University's NPI number?

The NPI number for Pennsylvania Western University is 1033919097. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Pennsylvania Western University located?

Pennsylvania Western University is located at 1008 S 5th Ave, Clarion, PA 16214. The listed phone number is (814) 297-8220.

What is Pennsylvania Western University's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Pennsylvania Western University enrolled in Medicare?

Yes. Pennsylvania Western University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pennsylvania Western University?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pennsylvania Western University, in Infectious Disease, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pennsylvania Western University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2052664) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennsylvania Western University was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.