Active NPI
Herbert Fellerman, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Kingston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MDO10836E
- Practice address
- 183 Market St
Kingston, PA 18704-5444 - Phone
- (570) 714-9322
- Fax
- (570) 714-8750
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MDO10836E | PA | Primary |
Addresses
Primary practice location
183 Market St
Kingston, PA 18704-5444
Mailing address
644 Gibson Ave
Kingston, PA 18704-5320
Phone (570) 283-4806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006517730005 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- State University of Ny Upstate Medical University, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
183 Market St
Suite 100
Kingston, PA 18704-5444
Phone (570) 714-9322
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDO10836E | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrine Specialty Group Inc. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Hospitalists of Arizona, Inc | Past | Accepting new patients | |
| Kingston Chiropractic LLC | Past | Accepting new patients |
Locations
220 Pierce St
Ste 2
Kingston, PA 18704
Phone (570) 714-9322
183 Market St
Kingston, PA 18704
Phone (570) 714-7070
183 Market St
Ste 201
Kingston, PA 18704
Phone (570) 714-9322
183 Market St
Ste 100
Kingston, PA 18704
Phone (570) 714-9322
Organizations & group practices 3
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.
-
dba Coordinated Care of Kingston
- Endocrinology, Diabetes & Metabolism Physician
- Kingston, PA
- NPI 1780709907
-
- Chiropractor
- Kingston, PA
- NPI 1881669638
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1508194036
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376648444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 GIBSON AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045320",
"telephone_number": "570-283-4806",
"fax_number": "570-283-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 MARKET ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045444",
"telephone_number": "570-714-9322",
"fax_number": "570-714-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLERMAN",
"first_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MDO10836E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006517730005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.