Individual provider Active NPI

Karl Richard Pecht, M.D.

  • Family Medicine Physician
  • Blanchard, PA
National Provider Identifier
1154306538
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD027599E Issued in PA
Practice address
104 Brickley Drive
Route 150
Blanchard, PA 16826-0215
Phone
(570) 962-2116
Fax
(570) 962-6425
NPI assigned
Dec 8, 2005
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 MD027599E PA Primary

Addresses

Primary practice location

104 Brickley Drive
Route 150
Blanchard, PA 16826-0215

Mailing address

PO Box 215
104 Brickley Drive
Blanchard, PA 16826-0215

Other identifiers 1

IdentifierTypeStateIssuer
0008697790001MedicaidPA

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
I20091016000289 PA Practitioner - Family Practice 3173660594 Practice locations: Blanchard, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 PO Box
Blanchard, PA 16826-0215

PO Box
Suite 215
Blanchard, PA 16826-0215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services Past Accepting new patients
Karl R. Pecht, M.D. Lab Past Accepting new patients

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1154306538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "address_2": "104 BRICKLEY DRIVE",
            "city": "BLANCHARD",
            "state": "PA",
            "postal_code": "168260215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BRICKLEY DRIVE",
            "address_2": "ROUTE 150",
            "city": "BLANCHARD",
            "state": "PA",
            "postal_code": "168260215",
            "telephone_number": "570-962-2116",
            "fax_number": "570-962-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHT",
        "first_name": "KARL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027599E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008697790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, PA

Sources for this page

Verify at the official NPI Registry.