NPIMap

Individual provider Active NPI

Kyle Patrick Riganati, DO

  • Family Medicine Physician
  • Lykens, PA
National Provider Identifier
1407111404
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017226 Issued in PA
Practice address
517 South St
Lykens, PA 17048-1520
Phone
(717) 453-1073
Fax
(717) 453-8292
NPI assigned
Jul 6, 2012
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 OS017226 PA Primary

Addresses

Primary practice location

517 South St
Lykens, PA 17048-1520

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other identifiers 1

IdentifierTypeStateIssuer
1030524150001MedicaidPA

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
I20150608000982 PA Practitioner - Family Practice 4183855299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

225 N Front St
Steelton, PA 17113-2240
Phone (717) 939-4593

270 Susquehanna Valley Mall Dr
Selinsgrove, PA 17870-9115

4830 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-2595

4897 State Route 209
Elizabethville, PA 17023-8455
Phone (717) 362-8810

517 S St
Lykens, PA 17048-1520
Phone (717) 453-1073

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS017226PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Jul 1, 2015 Accepting new patients
Family Practice Center, PC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

517 South St
Lykens, PA 17048
Phone (717) 453-1073

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

270 Susquehanna Valley Mall Dr
Ste 100
Selinsgrove, PA 17870
Phone (570) 768-4441

Interoperability endpoints

  • Direct secure messaging: kyleriganatido@fpc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1407111404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SOUTH ST",
            "city": "LYKENS",
            "state": "PA",
            "postal_code": "170481520",
            "telephone_number": "717-453-1073",
            "fax_number": "717-453-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGANATI",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030524150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lykens, PA

Sources for this page

Verify at the official NPI Registry.