NPIMap

Individual provider Active NPI

Carly Sedlock, M.D.

  • Infectious Disease Physician
  • Fountain Hill, PA
National Provider Identifier
1427411891
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD473690 Issued in PA
Practice address
701 Ostrum St Ste 103
Fountain Hill, PA 18015-1152
Phone
(845) 266-2004
Fax
(833) 222-9421
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD473690 PA Primary

Addresses

Primary practice location

701 Ostrum St Ste 103
Fountain Hill, PA 18015-1152

Mailing address

701 Ostrum St Ste 103
Fountain Hill, PA 18015-1152
Phone (845) 266-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20210709000412 NJ Practitioner - Internal Medicine 6507165644 Reassigns benefits to 1 organization
I20210803000247 PA Practitioner - Infectious Disease 6507165644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

123 A Roseberry St
Phillipsburg, NJ 08865-1629
Phone (484) 526-7555

701 Ostrum St
Suite 103
Fountain Hill, PA 18015-1152
Phone (484) 526-6200

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

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

State licenses

LicenseStateTypeSpecialty
MD473690PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC CurrentSince Jul 1, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 19, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 19, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Jul 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

123A Roseberry St
Phillipsburg, NJ 08865
Phone (484) 526-7555

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

701 Ostrum St
Ste 103
Fountain Hill, PA 18015
Phone (484) 526-6400

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

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: carly.sedlock@slpg.direct-sluhn.org

Organizations & group practices 7

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1427411891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 103",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "845-266-2004",
            "fax_number": "833-222-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 103",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "845-266-2004",
            "fax_number": "833-222-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLOCK",
        "first_name": "CARLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD473690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.