Bernard Adukaitis, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS005106L Issued in PA

Practice address

602 Altamont Blvd
Frackville, PA 17931-2412

Phone

(570) 874-2033

Fax

(570) 874-2804

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Integrated Medical Group P C

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1336102268

  Pediatrics

  Medicare reassignment NPD
• Integrated Medical Group, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Reading, PA
  • NPI 1881341303
  NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1043261183

  Pediatrics

  NPD (past)
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1194704239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ALTAMONT BLVD",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312412",
            "telephone_number": "570-874-2033",
            "fax_number": "570-874-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ALTAMONT BLVD",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312412",
            "telephone_number": "570-874-2033",
            "fax_number": "570-874-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUKAITIS",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS005106L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E63618",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Achieva Rehabilitation LLC
• Adams Healthcare PC
• Richard Thomas Adams Jr., DC
• Allyson Allison
• Caitlin Barnett, DPT
• Amy Gregory Barrett, PA-C
• Frank Joseph Blozusky, D.M.D.
• Ashley A. Breece, D.P.T.

• Pediatrics Physician in Frackville, PA
• Providers in Frackville, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.