Individual provider Active NPI

John R. Tomedi, M.D.

  • Family Medicine Physician
  • Kulpmont, PA
National Provider Identifier
1205884558
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD025588E Issued in PA
Practice address
119 Nevada Dr
Kulpmont, PA 17834-1957
Phone
(570) 373-1250
Fax
(570) 373-1718
NPI assigned
May 5, 2006
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 MD025588E PA Primary

Addresses

Primary practice location

119 Nevada Dr
Kulpmont, PA 17834-1957

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144

Other identifiers 1

IdentifierTypeStateIssuer
001070135MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtomedi6447@direct.geisinger.edu Direct

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
I20040601000894 PA Practitioner - Family Practice 1456333863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

119 Nevada Dr
Kulpmont, PA 17834-1960
Phone (570) 373-1250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical-Geisinger Health, LLC CurrentSince Sep 5, 2018 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2004 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Jul 1, 2004 Accepting new patients
Geisinger Clinic Selinsgrove Family Medicine Past Accepting new patients
Intermountain Medical Group, Inc Past Accepting new patients

Locations

2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320

100 N Academy Ave
Danville, PA 17822

119 Nevada Dr
Kulpmont, PA 17834
Phone (570) 373-1250

1 Dent Dr
Lewisburg, PA 17837
Phone (570) 577-1401

155 S Arch St
Ste B
Milton, PA 17847
Phone (570) 742-2655

385 State St
Sunbury, PA 17801
Phone (570) 286-6773

Interoperability endpoints

  • Direct secure messaging: jtomedi6447@direct.geisinger.edu

Organizations & group practices 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1205884558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEVADA DR",
            "city": "KULPMONT",
            "state": "PA",
            "postal_code": "178341957",
            "telephone_number": "570-373-1250",
            "fax_number": "570-373-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMEDI",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025588E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001070135",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtomedi6447@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "119 Nevada Dr",
            "city": "Kulpmont",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178341957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kulpmont, PA

Sources for this page

Verify at the official NPI Registry.