Meadville Medical Center
NPI 1629633573 · Multi-Specialty Clinic/Center · Meadville, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1629633573
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renato Suntay, Chief Financial Officer(814) 333-5030
Specialties & taxonomies
Ambulatory Health Care Facilities
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
- Meadville Medical Center Physician Services
- Other name
- Meadville Medical Center Physician Services
Additional practice locations (2)
- 3055 Innovation WayHermitage, PA 16148-7905Phone: (814) 333-5757Fax: (724) 662-4159
- 1034 Grove StMeadville, PA 16335-2945Phone: (814) 333-5928Fax: (814) 333-5956
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.