Individual provider Active NPI

Erin Bastidas

  • Family Medicine Physician
  • Boyertown, PA
National Provider Identifier
1407064405
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014699 Issued in PA
Practice address
146 S Reading Ave
Suite 101
Boyertown, PA 19512-1480
Phone
(610) 369-7121
Fax
(610) 369-0389
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014699 PA Primary

Addresses

Primary practice location

146 S Reading Ave
Suite 101
Boyertown, PA 19512-1480

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers 2

IdentifierTypeStateIssuer
193479OtherPAMEDICARE
102476325MedicaidPA

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
I20101216000968 PA Practitioner - Family Practice 2163610155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tower Health Medical Group 578 clinicians

Practice addresses (Care Compare)

146 S Reading Ave
Suite 101
Boyertown, PA 19512-1480
Phone (610) 369-7121

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

3703 Perkiomen Ave
Reading, PA 19606-2714
Phone (610) 898-5660

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

146 S Reading Ave
Ste 101
Boyertown, PA 19512
Phone (610) 369-7121

315 Darby Sq
Elverson, PA 19520
Phone (610) 898-5240

495 W Ridge Pike
Royersford, PA 19468
Phone (610) 495-0400

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

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 9

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1407064405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S READING AVE",
            "address_2": "SUITE 101",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121480",
            "telephone_number": "610-369-7121",
            "fax_number": "610-369-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDAS",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "193479",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102476325",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

Verify at the official NPI Registry.