NPIMap

Individual provider Active NPI

Barry A Minora, MD

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1275512162
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD056805L Issued in PA
Practice address
128-130 W Market St
Scranton, PA 18508-2641
Phone
(570) 347-1177
Fax
(570) 347-4691
NPI assigned
Jan 10, 2006
Last updated
Feb 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD056805L PA Primary

Addresses

Primary practice location

128-130 W Market St
Scranton, PA 18508-2641

Mailing address

128-130 W Market St
S
Scranton, PA 18508-2641
Phone (570) 347-1177

Other identifiers 1

IdentifierTypeStateIssuer
001542747MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000339 PA Practitioner - Internal Medicine 5496838989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

531 Mt Pleasant Dr
Scranton, PA 18503-1987
Phone (570) 342-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056805LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince May 28, 2024 Accepting new patients
Geisinger Clinic Past Accepting new patients
Pennsylvania LTC Inc Past Accepting new patients
Riverside Rehabilitation and Healthcare LLC Past Accepting new patients
Allied Services Skilled Nursing Center Past Accepting new patients
Embassy of Scranton LLC Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

128 W Market St
Scranton, PA 18508
Phone (516) 233-8721

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

Interoperability endpoints

  • Direct secure messaging: bminora@primemed.medentdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1275512162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128-130 W MARKET ST",
            "address_2": "S",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-347-1177",
            "fax_number": "570-347-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128-130 W MARKET ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-347-1177",
            "fax_number": "570-347-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINORA",
        "first_name": "BARRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD056805L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001542747",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.