NPIMap

Individual provider Active NPI

Brian S Polesuk, MD

  • Diagnostic Radiology Physician
  • Doylestown, PA
National Provider Identifier
1053309773
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD067885L Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2290
Fax
(215) 345-2596
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD067885L PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 892
Concordville, PA 19331-0892
Phone (610) 372-4957

Other identifiers 1

IdentifierTypeStateIssuer
001738566MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040720000773 PA Practitioner - Diagnostic Radiology 0345229522 Reassigns benefits to 5 organizations
I20250725004269 FL Practitioner - Diagnostic Radiology 0345229522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Parlee and Tatem Radiologic Associates LTDGroup PAC ID 4587555099, 15 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300

411 Juno Dunes Way
Juno Beach, FL 33408-2307
Phone (215) 918-5500

595 W State St
Doylestown, PA 18901-2554
Phone (215) 345-2290

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jun 19, 2024 Accepting new patients
Guthrie Medical Group, P.C, Diagnostic Radiology Current Accepting new patients
Geisinger Clinic CurrentSince May 20, 2024 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Jun 19, 2024 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Guthrie Medical Group, P.C. Diagnostic Radiology CurrentSince Nov 2, 2020 Accepting new patients
Parlee & Tatem Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Aug 1, 2001 Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Doylestown Radiology Group LP Diagnostic Radiology Past Accepting new patients
Orthopaedic Associates of Allentown Past Accepting new patients

Locations

250 Cetronia Rd
Ste 303
Allentown, PA 18104

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

250 Cetronia Rd
Ste 102
Allentown, PA 18104
Phone (610) 366-0444

2775 Schoenersville Rd
Bethlehem, PA 18017

100 N Academy Ave
Danville, PA 17822

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: bpolesuk161009@direct-guthrie.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1053309773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "CONCORDVILLE",
            "state": "PA",
            "postal_code": "193310892",
            "telephone_number": "610-372-4957",
            "fax_number": "610-372-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2290",
            "fax_number": "215-345-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESUK",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD067885L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001738566",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.