Active NPI
Tower Health Medical Group
- Plastic Surgery Physician
- Wyomissing, PA
National Provider Identifier
1154468874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- TOWER HEALTH MEDICAL GROUP
- Practice address
- 2610 Keiser Blvd
Wyomissing, PA 19610-3333 - Phone
- (484) 628-9127
- Fax
- (484) 628-9128
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Michael Valentino Jr.
- Title
- VP of Revenue Integrity
- Phone
- (484) 628-9380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
2610 Keiser Blvd
Wyomissing, PA 19610-3333
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072790 | Other | PA | MEDICARE ID |
Other names 1
- Plastic and Reconstructive Surgery- Tower Health Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000072 | PA | Part B Supplier - Clinic/Group Practice | 7618889213 |
Receives reassigned benefits from 1,612 practitioners This NPI is an additional NPI on the enrollment Practice locations: West Lawn, PA; Phoenixville, PA; West Reading, PA; Womelsdorf, PA; Wyomissing, PA; Sinking Spring, PA; Bernville, PA; Birdsboro, PA… |
National Provider Directory
National Provider Directory- Tax ID family
- Invalid Entry
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Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1154468874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 KEISER BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103333",
"telephone_number": "484-628-9127",
"fax_number": "484-628-9128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "VALENTINO",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "VP OF REVENUE INTEGRITY",
"authorized_official_telephone_number": "484-628-9380",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "072790",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plastic and Reconstructive Surgery- Tower Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.