Jeffrey John Backenstoes, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS-008959-L Issued in PA

Practice address

4807 Jonestown Rd Ste 141
Harrisburg, PA 17109-1744

Phone

(717) 695-6177

Fax

(717) 695-4369

NPI assigned

May 4, 2006

Last updated

Nov 26, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drbackenstoes@capstonemedical.medentdirect.com

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.

• Community Family Health Care PC

  • Family Medicine Physician
  • Lebanon, PA
  • NPI 1356360309
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1215985270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 JONESTOWN RD STE 141",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091744",
            "telephone_number": "717-695-6177",
            "fax_number": "717-695-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 JONESTOWN RD STE 141",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091744",
            "telephone_number": "717-695-6177",
            "fax_number": "717-695-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKENSTOES",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-008959-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbin M Babb
• Bethany Babinski, PHARMD
• Cayla Bachman
• Backenstoes Wellness and Counseling LLC
• Amanda Backenstoes
• Carol Backley, RN, CPNP
• Luke Badman, D.C.
• Casey Hart Baer, NURSE PRACTITIONER
• Regina J Bagby, CRNP
• Emil Bagdasarov

• Internal Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.