Individual provider Active NPI

Thomas Hanz Noller, MD

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1073640678
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD034593E Issued in PA
Practice address
526 Penn St
Ste 2
Reading, PA 19602-1097
Phone
(610) 375-3000
Fax
(610) 898-1149
NPI assigned
Feb 28, 2007
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 MD034593E PA Primary

Addresses

Primary practice location

526 Penn St
Ste 2
Reading, PA 19602-1097

Mailing address

526 Penn St
Reading, PA 19602-1096
Phone (610) 375-3000

Other identifiers 1

IdentifierTypeStateIssuer
20029112MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120110000031 PA Practitioner - Family Practice 4587691092 Practice locations: Reading, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physicians Specialty Group, P.C. PastSince Jun 11, 2020 Accepting new patients
Bala Cardiovascular Consultants, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1073640678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021096",
            "telephone_number": "610-375-3000",
            "fax_number": "610-898-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 PENN ST",
            "address_2": "STE 2",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021097",
            "telephone_number": "610-375-3000",
            "fax_number": "610-898-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLER",
        "first_name": "THOMAS",
        "middle_name": "HANZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD034593E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20029112",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.