NPIMap

Individual provider Active NPI

Charles Edward Zaleski Jr., MD

  • Urology Physician
  • Lewistown, PA
National Provider Identifier
1013993179
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD049932L Issued in PA
Practice address
27 Sandy LN
Lewistown, PA 17044-1310
Phone
(717) 242-7981
Fax
(717) 242-7963
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD049932L PA Primary

Addresses

Primary practice location

27 Sandy LN
Lewistown, PA 17044-1310

Mailing address

100 N Academy Ave
Danville, PA 17822-4093
Phone (570) 271-6144

Other identifiers 2

IdentifierTypeStateIssuer
001420574MedicaidPA
1420574MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address czaleski50826@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000331 PA Practitioner - Urology 7113020306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

21 Geisinger LN
Lewistown, PA 17044-3400
Phone (717) 242-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 15, 2023 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 15, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Geisinger Clinic CurrentSince Apr 5, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mid-Penn Urologic Associates Urology Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

400 Highland Ave
#5
Lewistown, PA 17044
Phone (717) 242-7943

21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560

Interoperability endpoints

  • Direct secure messaging: czaleski50826@direct.geisinger.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 47

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1013993179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224093",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SANDY LN",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441310",
            "telephone_number": "717-242-7981",
            "fax_number": "717-242-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALESKI",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD049932L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001420574",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420574",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "czaleski50826@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27 Sandy Ln",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.