Mark T. Peleschak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN297335L Issued in PA

Practice address

5000 Tilghman St
Ste 240
Allentown, PA 18104

Phone

(610) 395-4044

Fax

(610) 395-5693

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA, CO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• St. Joseph Medical Group

  • Family Medicine Physician
  • Reading, PA
  • NPI 1184754657
  Medicare reassignment Care Compare group NPD
• Rgal Anesthesia Services LLC

  • Anesthesiology Physician
  • Lancaster, PA
  • NPI 1699055251
  Medicare reassignment NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1730692054
  Medicare reassignment NPD
• St. Joseph Medical Group

  • Anesthesiology Physician
  • Reading, PA
  • NPI 1841680881

  Nurse Anesthetist, Certified Registered

  NPD
• Rocky Mountain State Anesthesia Providers

  • Anesthesiology Physician
  • Loveland, CO
  • NPI 1710510417
  NPD
• Anesthesia Associates of York PA Inc

  • Anesthesiology Physician
  • York, PA
  • NPI 1205812260

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Memorial Hospital

  • Anesthesiology Physician
  • York, PA
  • NPI 1922009620

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• St Joseph Regional Health Network

  • General Acute Care Hospital
  • Reading, PA
  • NPI 1699734665
  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1013999747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 TILGHMAN ST",
            "address_2": "STE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 TILGHMAN ST",
            "address_2": "STE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELESCHAK",
        "first_name": "MARK",
        "middle_name": "T.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN297335L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001835828",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50090036",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS (TRADITIONAL INDEMNITY PARTICIPATING)",
            "identifier": "PE888603",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Educational & Diagnostic Services, LTD
• Pediatric Neurology of Lehigh Valley, PC
• Pediatric Therapy Associates of the Lehigh Valley, PC
• Peer Drug and Alcohol Program
• Ann J Peiffer, PA
• Colleen Madden Pellegrino, LCSW, ACS
• Jason Anthony Pellegrino, DMD
• Megan Pellek
• Nadia Pellett, D.O.
• Timothy M Pellini, MD

• Certified Registered Nurse Anesthetist in Allentown, PA
• Providers in Allentown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.