Individual provider Active NPI

Raymond J Felins, MD

  • Internal Medicine Physician
  • Covington TWP, PA
National Provider Identifier
1376580456
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD034316E Issued in PA
Practice address
260 Daleville Hwy
Ste 103
Covington TWP, PA 18444-7951
Phone
(570) 842-7746
Fax
(570) 842-7189
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 MD034316E PA Primary

Addresses

Primary practice location

260 Daleville Hwy
Ste 103
Covington TWP, PA 18444-7951

Mailing address

260 Daleville Hwy
Suite 103
Covington TWP, PA 18444-7951
Phone (570) 842-7746

Other identifiers 1

IdentifierTypeStateIssuer
0016390490001MedicaidPA

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
I20060807000277 PA Practitioner - Internal Medicine 2860495108 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Physicians Health Alliance Inc Past Accepting new patients

Locations

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

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1376580456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 DALEVILLE HWY",
            "address_2": "SUITE 103",
            "city": "COVINGTON TWP",
            "state": "PA",
            "postal_code": "184447951",
            "telephone_number": "570-842-7746",
            "fax_number": "570-842-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 DALEVILLE HWY",
            "address_2": "STE 103",
            "city": "COVINGTON TWP",
            "state": "PA",
            "postal_code": "184447951",
            "telephone_number": "570-842-7746",
            "fax_number": "570-842-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELINS",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034316E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016390490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington TWP, PA

Sources for this page

Verify at the official NPI Registry.