Meadville Medical Center
NPI 1417640079 · Pulmonary Disease Physician · Meadville, PA
Enrolled with Medicare as Part B Supplier - Hospital Department(s) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Meadville Medical Center is a Pulmonary Disease Physician organization in Meadville, PA (NPI 1417640079).
Provider details
- NPI number
- 1417640079
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cory Jackson, Controller(814) 333-5766
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Pulmonary Associates of Meadville
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-22
Frequently asked questions
- What is Meadville Medical Center's NPI number?
- Meadville Medical Center's National Provider Identifier (NPI) is 1417640079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Meadville Medical Center?
- Meadville Medical Center is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Meadville Medical Center located?
- Meadville Medical Center's practice location on file with NPPES is 765 Liberty St Ste 307b, Meadville, PA 16335-2569.
- What is Meadville Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Meadville Medical Center is (814) 333-5691.
- Does Meadville Medical Center accept Medicare?
- Meadville Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Meadville Medical Center?
- The authorized official listed on Meadville Medical Center's NPPES record is Cory Jackson, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Meadville Medical Center's NPI active?
- Yes — Meadville Medical Center's NPI (1417640079) is active in the NPPES registry as of the last update on 2023-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.