Individual provider Active NPI

Amiel W Bethel, M.D.

  • Neurological Surgery Physician
  • Wilkes Barre, PA
National Provider Identifier
1295751337
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD472635 Issued in PA
Practice address
950 E Mountain Dr
Wilkes Barre, PA 18711-0028
Phone
(570) 808-3290
Fax
(570) 808-3298
NPI assigned
Jul 14, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD472635 PA Primary
Neurological Surgery Physician 207T00000X D52278 MD

Addresses

Primary practice location

950 E Mountain Dr
Wilkes Barre, PA 18711-0028

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-3290

Other practice location 1

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 703-8888

Other identifiers 3

IdentifierTypeStateIssuer
345210700MedicaidMD
878BGR/54676002OtherMDCAREFIRST MARYLAND GBMC
K5700001OtherMDCAREFIRST REGIONAL GBMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050901000243 MD Practitioner - Neurosurgery 3870525603 Reassigns benefits to 3 organizations
I20201231000175 PA Practitioner - Neurosurgery 3870525603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Un of British Columbia, Faculty of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1630 Woodbrooke Dr
Salisbury, MD 21804-8501

1640 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone (410) 912-5640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD472635PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Geisinger Clinic CurrentSince Feb 15, 2021 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Apr 7, 2025 Accepting new patients
University of Maryland Neurosurgery Associates P a Neurological Surgery CurrentSince May 10, 2011 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Geisinger Clinic CurrentSince Feb 15, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. Past Accepting new patients
University of Maryland Community Medical Group, Inc. PastSince May 7, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

301 Hospital Dr
Ste 803
Glen Burnie, MD 21061
Phone (410) 553-8160

305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359

305 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 266-2725

305 Hospital Dr
Ste 460
Glen Burnie, MD 21061
Phone (410) 553-8160

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Organizations & group practices 11

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 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1295751337",
    "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": "178224903",
            "telephone_number": "570-808-3290",
            "fax_number": "570-808-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110028",
            "telephone_number": "570-808-3290",
            "fax_number": "570-808-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102369",
            "country_code": "US",
            "telephone_number": "570-703-8888",
            "fax_number": "570-703-8512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "AMIEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD472635",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D52278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345210700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND GBMC",
            "identifier": "878BGR/54676002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL GBMC",
            "identifier": "K5700001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.