DR. JAMES HARRY KONDOLIOS MD
NPI 1073592663
Internal Medicine in Warren, OH

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
667 EASTLAND AVE SE, WARREN, OH 44484(330) 841-2378(330) 841-4667 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Harry Kondolios Md NPPES

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

DR. JAMES HARRY KONDOLIOS MD (NPI 1073592663) is an individual internal medicine provider in Warren, Ohio, licensed in Ohio (35.073301) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mh St Joseph Warren Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1073592663
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES HARRY KONDOLIOSCredential: MD
Location Address667 EASTLAND AVE SEWarren, OH 44484-4503
Mailing Address667 Eastland Ave SeWarren, OH 44484-4503 · (330) 841-2378 · Fax (330) 841-4667
Fax(330) 841-4667
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 11, 2006
Last NPPES UpdateSeptember 24, 2018
NPI 1073592663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.073301
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 35.073301 (OH)
667 EASTLAND AVE SE, Warren, OH 44484

Other Identifiers 1

Medicaid2060808OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. James Harry Kondolios Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466439658
PECOS Enrollment IDI20061120000526
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
315 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
179 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44484 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%135 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims26 services$13.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims26 services$64.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
667 EASTLAND AVE SE
WARREN, OH 44484
Internal Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Anesthesiology
667 EASTLAND AVE SE
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Nurse Practitioner (Critical Care Medicine)
667 EASTLAND AVE SE
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Pathology (Cytopathology)
667 EASTLAND AVE SE
WARREN, OH 44484

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 James Kondolios's NPI number?

The NPI number for James Kondolios is 1073592663. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is James Kondolios located?

James Kondolios practices at 667 Eastland Ave SE, Warren, OH 44484. The listed phone number is (330) 841-2378.

What is James Kondolios's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Kondolios enrolled in Medicare?

Yes. James Kondolios is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Kondolios accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list James Kondolios as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Kondolios affiliated with any hospitals?

According to CMS data, James Kondolios is affiliated with Mh St Joseph Warren Hospital.

When was this NPI record last updated?

The NPPES record for James Kondolios was last updated on September 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.