MEADVILLE MEDICAL CENTER
NPI 1295097863
Dermatology in Meadville, PA

Active since June 11, 2012
149 N MAIN ST, MEADVILLE, PA 16335(814) 333-5000 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Meadville Medical Center NPPES

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

MEADVILLE MEDICAL CENTER (NPI 1295097863), doing business as Meadville Dermatology And Skin Surgery Institute, is a healthcare organization registered as a dermatology in Meadville, Pennsylvania and active in the NPI registry since June 2012. The organization maintains a secondary practice location in Hermitage and lists Renato Suntay, Vp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1295097863
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEADVILLE MEDICAL CENTER
Location Address149 N MAIN STMeadville, PA 16335-1112
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 333-5762 · Fax (814) 333-5640
Organization SubpartNo
Authorized OfficialRenato SuntayVp/chief Financial Officer · (814) 333-5030
Enumeration DateJune 11, 2012
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1295097863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
149 N MAIN ST, Meadville, PA 16335

Other Names 1

Doing Business AsMeadville Dermatology And Skin Surgery Institute

Secondary Practice Location 1

Location 12425 Garden Way Ste 102Hermitage, PA 16148-5215 · Phone (724) 981-1777 · Fax (724) 342-2879

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)

Meadville Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Meadville Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1619933256
149 N MAIN ST
Meadville, PA 16335
(814) 333-3939
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144093543
149 N MAIN ST
Meadville, PA 16335
(814) 333-3939
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831074459
406 W OAK ST
Titusville, PA 16354
(814) 827-9770
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1437686318
1 AMERICAN WAY NE
Warren, OH 44484
(330) 856-8811
✔ PECOS✔ Accepts Medicare42 mi
Dermatology
NPI 1942468582
5800 LANDERBROOK DR STE 250
Mayfield Hts, OH 44124
(440) 646-1600
✔ PECOS✔ Accepts Medicare70 mi
Dermatology
NPI 1134315971
580 S AIKEN AVE
Pittsburgh, PA 15232
(412) 681-1072
✔ PECOS✔ Accepts Medicare84 mi

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

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 Meadville Medical Center's NPI number?

The NPI number for Meadville Medical Center is 1295097863. It was assigned to this organization in the NPPES registry on June 11, 2012. The provider is doing business as Meadville Dermatology and Skin Surgery Institute.

Where is Meadville Medical Center located?

Meadville Medical Center is located at 149 N Main St, Meadville, PA 16335. The listed phone number is (814) 333-5000.

What is Meadville Medical Center's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Meadville Medical Center enrolled in Medicare?

Yes. Meadville Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meadville Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Meadville Medical Center. 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. The largest specialties are Dermatology (4) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Meadville Medical Center was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.