NPIMap

Individual provider Active NPI

Remy W Mimms, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Center Valley, PA
National Provider Identifier
1164885877
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
OS020067 Issued in PA
Practice address
5445 Lanark Rd FL 3
Center Valley, PA 18034-8694
Phone
(484) 526-7300
Fax
(866) 449-5832
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS020067 PA
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X OS020067 PA Primary

Addresses

Primary practice location

5445 Lanark Rd FL 3
Center Valley, PA 18034-8694

Mailing address

5445 Lanark Rd FL 3
Center Valley, PA 18034-8694
Phone (484) 526-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210803003434 PA Practitioner - Endocrinology 4789919572 Reassigns benefits to 3 organizations
I20220201000745 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 4789919572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Rowan University School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

5445 Lanark Rd 3Rd FL
St Lukes Center for Diabetes and Endocrinol
Center Valey, PA 18034-0000
Phone (484) 526-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020067PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Apr 1, 2023 Accepting new patients
St. Luke's Pulmonary Sleep Medicine CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 1, 2022 Accepting new patients
Gslpg, Inc CurrentSince May 1, 2022 Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 1, 2022 Accepting new patients
Star Community Health, Inc CurrentSince Apr 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

755 Memorial Pkwy
Ste 302A
Phillipsburg, NJ 08865
Phone (908) 847-2050

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

77 S Commerce Way
Bethlehem, PA 18017
Phone (484) 526-2538

5445 Lanark Rd
Fl 3
Center Valley, PA 18034

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

Interoperability endpoints

  • Direct secure messaging: remy.mimms@slpg.direct-sluhn.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1164885877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 LANARK RD FL 3",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348694",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LANARK RD FL 3",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348694",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMMS",
        "first_name": "REMY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS020067",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "OS020067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.