Krista Bott, M.D.
Individual provider Active NPI Surgery Physician · Stroudsburg, PA
NPI 1104051200 · NPPES record last updated May 4, 2023
Key facts
- NPI
- 1104051200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD451073 (PA)
- Practice address
- 600 Commerce Blvd
3Rd Floor
Stroudsburg, PA 18360-6214 - Phone
- (570) 426-6070
- Fax
- (570) 422-8091
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
3794 Hecktown Rd
Suite 250
Easton, PA 18045-2355
Phone (484) 546-5800
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
- Lehigh Valley Hospital - Dickson City
- Geisinger-Community Medical Center
- Lehigh Valley Hospital
- Wilkes-Barre General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 62 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140828000073 | PA | Practitioner - General Surgery | 3779720677 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD451073 | PA | MD | Surgery Physician |
| MT194819 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Surgery | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Family Care Centers Inc | Current |
Accepting new patients | |
| Family Care Centers Inc. | Surgery | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Vascular Diagnostic Center PC | Past | Accepting new patients | |
| Pathology Associates of NE PA LTD | Past |
Accepting new patients |
Locations
500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864
300 Lackawanna Ave
Ste 200
Scranton, PA 18503
Phone (570) 342-7864
600 Commerce Blvd
Fl 3
Stroudsburg, PA 18360
Phone (570) 426-6070
Interoperability endpoints
- kgoodman111830@direct2.lvhn.org
- kbott@poconomc.direct.varian.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT194819 | PA | |
| Surgery Physician | 208600000X | MD451073 | PA | Yes |
Addresses
Primary practice location
600 Commerce Blvd
3Rd Floor
Stroudsburg, PA 18360-6214
Mailing address
206 E Brown St
Pocono Health System - Professional Center
East Stroudsburg, PA 18301-3006
Phone (570) 420-4919
Other practice location 1
3794 Hecktown Rd Ste 130
Easton, PA 18045-2355
Phone (484) 544-4777
Other practice location 2
300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone (570) 342-7864
Other providers in Stroudsburg, PA
- Joyce Blaskow
- Blue Lotus Counseling & Consulting Services
- Weronika Paulina Bluma
- Madelon Bohdal
- Samba Murthy Bolla
- Steven Richard Bowers
- Abbey Lynn Boyd
- Jill Boyle
- Margaret Elizabeth Bradley-Van Orman
- Daniel William Bradley
All providers in Stroudsburg, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.