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MEADVILLE MEDICAL CENTER
NPI 1396480372
Internal Medicine - Gastroenterology in Meadville, PA

Active since May 03, 2022
1034 GROVE ST STE G1, MEADVILLE, PA 16335(814) 807-1202(814) 807-1210 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Meadville Medical Center NPPES

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

MEADVILLE MEDICAL CENTER (NPI 1396480372) is a healthcare organization registered as a gastroenterology in Meadville, Pennsylvania and active in the NPI registry since May 2022. The organization lists Cory Frank Jackson, Controller, as its authorized official.

NPPES Registry Identity

NPI1396480372
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMEADVILLE MEDICAL CENTER
Location Address1034 GROVE ST STE G1Meadville, PA 16335-2945
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 807-1202 · Fax (814) 807-1210
Phone(814) 807-1202
Fax(814) 807-1210
Organization SubpartNo
Authorized OfficialCory Frank JacksonController · (814) 333-5766
Enumeration DateMay 3, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1396480372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1034 GROVE ST STE G1, Meadville, PA 16335
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Other Names 1

Other NameMeadville Gastroenterology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Gautam Anand, MD
Gastroenterology
NPI 1548723380
1034 GROVE ST STE G1
Meadville, PA 16335
(814) 807-1202
✔ PECOS✔ Accepts MedicareSame address
Amanda Esmond
Nurse Practitioner
NPI 1710746029
1034 GROVE ST STE G1
Meadville, PA 16335
(814) 807-1202
✔ PECOS✔ Accepts MedicareSame address
Hannah Komedja, APRN
Nurse Practitioner
NPI 1295154441
1034 GROVE ST STE G1
Meadville, PA 16335
(814) 807-1202
✔ PECOS✔ Accepts MedicareSame address
Beth Wimer, CRNP
Nurse Practitioner
NPI 1932189941
1034 GROVE ST STE G1
Meadville, PA 16335
(814) 807-1202
✔ PECOS✔ Accepts MedicareSame address
Nitin Patel, MD
Internal Medicine
NPI 1336323989
1015 GROVE ST
Meadville, PA 16335
(814) 807-1202
✔ PECOS✔ Accepts Medicare0.1 mi
Rona De La Vega, DO
General Surgery
NPI 1578126207
765 LIBERTY ST STE 101
Meadville, PA 16335
(814) 373-3434
✔ PECOS✔ Accepts Medicare0.6 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 1396480372. It was assigned to this organization in the NPPES registry on May 3, 2022. The provider is also known as Meadville Gastroenterology.

Where is Meadville Medical Center located?

Meadville Medical Center is located at 1034 Grove St Ste G1, Meadville, PA 16335. The listed phone number is (814) 807-1202.

What is Meadville Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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 4 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 Nurse Practitioner (3), Gastroenterology (1) and General Surgery (1). Of these, 4 practice at this address and 6 within 10 miles. 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 May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.