NPIMap

Individual provider Active NPI

Andrew Mark Shurman, MD

  • Neuroradiology Physician
  • Bethlehem, PA
National Provider Identifier
1376597633
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD425622 Issued in PA
Practice address
801 Ostrum St Dept of
Bethlehem, PA 18015-1000
Phone
(484) 526-4000
Fax
(610) 868-1111
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD425622 PA Primary

Addresses

Primary practice location

801 Ostrum St Dept of
Bethlehem, PA 18015-1000

Mailing address

95 Highland Ave
Ste 130
Bethlehem, PA 18017-9483
Phone (610) 868-1100

Other practice location 1

95 Highland Ave
Ste 130
Bethlehem, PA 18017-9483
Phone (610) 868-1100

Other identifiers 1

IdentifierTypeStateIssuer
101654010MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060727000075 PA Practitioner - Diagnostic Radiology 3072526656 Reassigns benefits to 1 organization
I20140724002011 NJ Practitioner - Diagnostic Radiology 3072526656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 859-6700

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 868-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physician Assoc, Inc. Neuroradiology CurrentSince Jul 1, 2006 Accepting new patients
Radiology & MRI of Bethlehem, Inc. Past Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients

Locations

95 Highland Ave
Ste 130
Bethlehem, PA 18017
Phone 61086811002

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

Organizations & group practices 4

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 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1376597633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE",
            "address_2": "STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179483",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST DEPT OF",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4000",
            "fax_number": "610-868-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 HIGHLAND AVE",
            "address_2": "STE 130",
            "address_purpose": "LOCATION",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179483",
            "country_code": "US",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURMAN",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD425622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101654010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.