NPIMap

Individual provider Active NPI

Deborah J. Mistal, DO

  • Family Medicine Physician
  • Drums, PA
National Provider Identifier
1033280417
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005335L Issued in PA
Practice address
32 West Foothills Drive
Drums, PA 18222
Phone
(570) 788-5000
Fax
(570) 788-2325
NPI assigned
Nov 10, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005335L PA Primary

Addresses

Primary practice location

32 West Foothills Drive
Drums, PA 18222

Mailing address

PO Box 1347
Kingston, PA 18704-0347
Phone (570) 288-8881

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
I20070621000177 PA Practitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Addiction Medicine 2668571381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Addiction Medicine, Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32 W Foothills Dr
Drums, PA 18222-2407
Phone (570) 788-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mistal Deborah J DO PC CurrentSince Jan 4, 2016 Accepting new patients
Deborah J Mistal DO Family Medicine Past Accepting new patients

Locations

32 W Foothills Dr
Drums, PA 18222
Phone (570) 600-6010

Interoperability endpoints

  • Direct secure messaging: deborah.mistal.1@12725.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12725/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1033280417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040347",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WEST FOOTHILLS DRIVE",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "18222",
            "telephone_number": "570-788-5000",
            "fax_number": "570-788-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTAL",
        "first_name": "DEBORAH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005335L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drums, PA

Sources for this page

Verify at the official NPI Registry.