Individual provider Active NPI

Steven Nack, MD

  • Gastroenterology Physician
  • Flourtown, PA
National Provider Identifier
1427096304
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD026596E Issued in PA
Practice address
1811 Bethlehem Pike
Flourtown, PA 19031-1111
Phone
(215) 402-0800
Fax
(215) 836-2429
NPI assigned
Jun 3, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD026596E PA Primary

Addresses

Primary practice location

1811 Bethlehem Pike
Flourtown, PA 19031-1111

Mailing address

1811 Bethlehem Pike
Flourtown, PA 19031-1111
Phone (215) 402-0800

Other identifiers 2

IdentifierTypeStateIssuer
1430220MedicaidTN
110119970OtherPARAILROAD

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
I20100914001156 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 8022079862 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Apr 1, 2021 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 1, 2021 Accepting new patients
Hillmont ASC LP CurrentSince Jan 1, 2016 Accepting new patients

Locations

1528 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 402-0600

1811 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 402-0800

1811 Bethlehem Pike
Ste 300
Flourtown, PA 19031
Phone (215) 402-0600

1811 Bethlehem Pike
Ste C300
Flourtown, PA 19031
Phone (215) 402-0800

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

125 Medical Campus Dr
Ste 104
Lansdale, PA 19446
Phone (215) 402-0800

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: stevennack@hgi.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1427096304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-402-0800",
            "fax_number": "215-836-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-402-0800",
            "fax_number": "215-836-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACK",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD026596E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110119970",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

Verify at the official NPI Registry.