NPIMap

Individual provider Active NPI

Peter Joseph Tucker, MD

  • Urology Physician
  • Harrisburg, PA
National Provider Identifier
1336149442
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD056753L Issued in PA
Practice address
815 Sir Thomas CT Ste 200
Harrisburg, PA 17109-4839
Phone
(717) 724-0720
Fax
(717) 724-0730
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD056753L PA Primary

Addresses

Primary practice location

815 Sir Thomas CT Ste 200
Harrisburg, PA 17109-4839

Mailing address

815 Sir Thomas CT Ste 200
Harrisburg, PA 17109-4839
Phone (717) 724-0720

Other identifiers 2

IdentifierTypeStateIssuer
50000019OtherPACAPITAL BLUE CROSS
5258768OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ptucker19938@phsdirect.pinnaclehealth.org

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
I20051028000288 PA Practitioner - Urology 2668499740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians

Practice addresses (Care Compare)

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (484) 526-2440

Hospital & facility affiliations

  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jan 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Jan 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2021 Accepting new patients
Gslpg, Inc CurrentSince Jan 1, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

423 N 21st St
Ste 300
Camp Hill, PA 17011
Phone (717) 763-1174

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

815 Sir Thomas Ct
Ste 200
Harrisburg, PA 17109
Phone (717) 724-0720

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4310 Londonderry Rd
Ste 101
Harrisburg, PA 17109
Phone (717) 724-0720

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

Organizations & group practices 8

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 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1336149442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SIR THOMAS CT STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-724-0720",
            "fax_number": "717-724-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SIR THOMAS CT STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-724-0720",
            "fax_number": "717-724-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD056753L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5258768",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptucker19938@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "815 Sir Thomas Ct Ste 200",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171094839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.