Individual provider Active NPI

Sharon Palushock, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Old Forge, PA
National Provider Identifier
1154300036
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD040639 L Issued in PA
Practice address
939 Moosic Rd
Old Forge, PA 18518-2034
Phone
(570) 471-3506
Fax
(570) 471-3407
NPI assigned
Jan 10, 2006
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD040639 L PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD040639 L PA Primary

Addresses

Primary practice location

939 Moosic Rd
Old Forge, PA 18518-2034

Mailing address

939 Moosic Rd
Old Forge, PA 18518-2034
Phone (570) 471-3506

Other identifiers 1

IdentifierTypeStateIssuer
001261360MedicaidPA

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
I20100607000671 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 8022148758 Practice locations: Old Forge, PA

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

939 Moosic Rd
Old Forge, PA 18518-2034
Phone (570) 471-3506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as individual
Quality
91.54
Promoting interoperability
80
Improvement activities
40
Cost
72.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040639 LPAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: drpalushock@sharonpalushockmd.medentdirect.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.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1154300036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 MOOSIC RD",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182034",
            "telephone_number": "570-471-3506",
            "fax_number": "570-471-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 MOOSIC RD",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182034",
            "telephone_number": "570-471-3506",
            "fax_number": "570-471-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUSHOCK",
        "first_name": "SHARON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040639 L",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD040639 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001261360",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, PA

Sources for this page

Verify at the official NPI Registry.