Individual provider Active NPI

Steven Peter Siegelbaum, M.D.

  • Gastroenterology Physician
  • Camp Hill, PA
National Provider Identifier
1144220633
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD021958E Issued in PA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0006270430001MedicaidPA
091648OtherPAHIGHMARK BLUE SHIELD
4255752OtherPAAETNA US HEALTHCARE
P00315649OtherPARAILROAD MEDICARE
50058936OtherPACAPITAL BLUE CROSS
B35523OtherPAHEALTHAMERICA

Other names 1

  • Dr. Steven Peter Siegelbaum Professional name

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

LicenseStateTypeSpecialty
MD021958EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siegelbaum, Gunder & Lacey Gastroenterology Gastroenterology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.