Active NPI
Steven Peter Siegelbaum, M.D.
- Gastroenterology Physician
- Camp Hill, PA
National Provider Identifier
1144220633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD021958E
- Practice address
- 423 N 21St St
Suite 100
Camp Hill, PA 17011-2207 - Phone
- (717) 238-3111
- Fax
- (717) 238-1896
- NPI assigned
- Jul 26, 2005
- Last updated
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD021958E | PA | Primary |
Addresses
Primary practice location
423 N 21St St
Suite 100
Camp Hill, PA 17011-2207
Mailing address
423 N 21St St
Suite 100
Camp Hill, PA 17011-2207
Phone (717) 238-3111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006270430001 | Medicaid | PA | |
| 091648 | Other | PA | HIGHMARK BLUE SHIELD |
| 4255752 | Other | PA | AETNA US HEALTHCARE |
| P00315649 | Other | PA | RAILROAD MEDICARE |
| 50058936 | Other | PA | CAPITAL BLUE CROSS |
| B35523 | Other | PA | HEALTHAMERICA |
Other names 1
- Dr. Steven Peter Siegelbaum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021958E | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siegelbaum, Gunder & Lacey Gastroenterology | Gastroenterology | Past | Accepting new patients |
Interoperability endpoints
- steven.siegelbaum.1@21022.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Specialist
- Harrisburg, PA
- NPI 1821057605
Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1144220633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N 21ST ST",
"address_2": "SUITE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112207",
"telephone_number": "717-238-3111",
"fax_number": "717-238-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N 21ST ST",
"address_2": "SUITE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112207",
"telephone_number": "717-238-3111",
"fax_number": "717-238-1896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGELBAUM",
"first_name": "STEVEN",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD021958E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006270430001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "091648",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4255752",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00315649",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50058936",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "B35523",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEVEN",
"last_name": "SIEGELBAUM",
"middle_name": "PETER",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.