NPIMap

Individual provider Active NPI

Michael Robert Klingerman, MD

  • Emergency Medicine Physician
  • Scranton, PA
National Provider Identifier
1285621557
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD427017 Issued in PA
Practice address
1209 Swetland St
Scranton, PA 18504-1849
Phone
(570) 207-0650
NPI assigned
Oct 3, 2005
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD427017 PA Primary
Internal Medicine Physician 207R00000X MD427017 PA

Addresses

Primary practice location

1209 Swetland St
Scranton, PA 18504-1849

Mailing address

1209 Swetland St
Scranton, PA 18504-1849
Phone (570) 207-0650

Other identifiers 1

IdentifierTypeStateIssuer
101434053 0001MedicaidPA

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
I20060123000805 PA Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Hospitalist 2365400223 Reassigns benefits to 4 organizations
Practice locations: Scranton, PA

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1209 Swetland St
Scranton, PA 18504-1849
Phone (570) 207-0650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Scranton Quincy Clinic Company LLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Jan 1, 2014 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Wilkes-Barre Clinic Company LLC Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • Direct secure messaging: michael.klingerman.1@19481.direct.athenahealth.com

Organizations & group practices 9

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 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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1285621557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SWETLAND ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185041849",
            "telephone_number": "570-207-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SWETLAND ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185041849",
            "telephone_number": "570-207-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGERMAN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD427017",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD427017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101434053 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.