Individual provider Active NPI

Kevin Lwin Aung Soe, M.D.

  • Diagnostic Radiology Physician
  • Wilkes Barre, PA
National Provider Identifier
1326239716
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD456675 Issued in PA
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone
(570) 808-7779
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 254705 NY
Diagnostic Radiology Physician 2085R0202X 254705 NY
Diagnostic Radiology Physician 2085R0202X MD456675 PA Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

26 Jasmine Dr
Middletown, NY 10940-5046
Phone (845) 741-3349

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
I20160831001813 PA Practitioner - Diagnostic Radiology 1153461017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
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)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Nov 16, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 16, 2019 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations (25 of 40)

65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590

2200 W Front St
Berwick, PA 18603
Phone (570) 759-1228

224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196

100 N Academy Ave
Danville, PA 17822

35 Justin Dr
Danville, PA 17821
Phone (570) 271-6028

436 W Valley Ave
Elysburg, PA 17824
Phone (570) 672-1101

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

250 Reitz Blvd
Lewisburg, PA 17837
Phone (570) 523-0055

120 Hamm Dr
Lewisburg, PA 17837
Phone (570) 522-9400

21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200

310 Electric Ave
Lewistown, PA 17044
Phone (717) 242-2531

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

5 Lakeview Dr
Moosic, PA 18507
Phone (570) 558-2180

10990 State Route 61
Mount Carmel, PA 17851
Phone (570) 339-4513

255 Route 220 Hwy
Ste 205
Muncy, PA 17756
Phone (570) 308-2445

1165 Centre Tpke
#61
Orwigsburg, PA 17961

300 Hollywood Blvd
Orwigsburg, PA 17961
Phone (570) 366-1557

210 Medical Center Dr
Philipsburg, PA 16866
Phone (814) 342-8001

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

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 and National Provider Directory roles.

Hospital & facility affiliations 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1326239716",
    "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": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18711",
            "telephone_number": "570-808-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Jasmine Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109405046",
            "country_code": "US",
            "telephone_number": "845-741-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOE",
        "first_name": "KEVIN",
        "middle_name": "LWIN AUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "254705",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "254705",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD456675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.