Richard Frank Cordova, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS010574L Issued in PA

Practice address

8 Brookhill Square South
Spring Commons
Sugarloaf, PA 18249-1010

Phone

(570) 459-0029

Fax

(570) 454-5757

NPI assigned

Sep 21, 2005

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
• St Luke's Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
• St Luke's Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

Merit-based Incentive Payment System (MIPS)

Final score

89.52 of 100Reported as group

Quality

87.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  Medicare reassignment Care Compare group NPD
• Derm DX Centers for Dermatology, Inc.

  • Dermatology Physician
  • Hazleton, PA
  • NPI 1992791305
  NPD (past)
• Hillside Foot and Ankle Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Hanover, PA
  • NPI 1205351939
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• St Luke's Hospital

  dba St. Luke's Hospital-Sacred Heart Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital - Anderson Campus

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital-Lehighton Campus

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St. Luke's Hospital

  dba St. Luke's Hospital - Allentown Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke's Hospital Bethlehem

  dba St. Luke's Partial Hospitalization Program

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation
• St. Luke's Hospital-Carbon Campus

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1699340927
  Care Compare affiliation
• The Carbon-Schuylkill Community Hospital, Inc.

  dba St. Luke's Miners Memorial Hospital

  • General Acute Care Hospital
  • Coaldale, PA
  • NPI 1437182847
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1073509527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "address_2": "SPRING COMMONS",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182491010",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "address_2": "SPRING COMMONS",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182491010",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 Windmill Rd Ste 7",
            "address_2": "Spring Commons",
            "address_purpose": "LOCATION",
            "city": "Sinking Spring",
            "state": "PA",
            "postal_code": "196081680",
            "country_code": "US",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3812 Market Street",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114356",
            "country_code": "US",
            "telephone_number": "717-869-0928",
            "fax_number": "717-296-8868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Northgate Drive",
            "address_2": "Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180179416",
            "country_code": "US",
            "telephone_number": "610-936-8050",
            "fax_number": "610-936-8051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Route 209",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "PA",
            "postal_code": "183317751",
            "country_code": "US",
            "telephone_number": "570-664-6220",
            "fax_number": "570-664-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Keystone Court",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175402207",
            "country_code": "US",
            "telephone_number": "717-869-0919",
            "fax_number": "717-869-0929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Century Drive",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554376",
            "country_code": "US",
            "telephone_number": "717-458-5407",
            "fax_number": "717-620-7298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "RICHARD",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010574L",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS010574L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "925494",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018674470005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Sugarloaf, PA
• Providers in Sugarloaf, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.