NPIMap

Individual provider Active NPI

Brittany Kuperavage, D.O

  • Family Medicine Physician
  • Pennsburg, PA
National Provider Identifier
1447631155
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT016547 Issued in PA
Practice address
2793 Geryville Pike Ste 200
Pennsburg, PA 18073
Phone
(267) 424-8200
Fax
(866) 395-8159
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 OT016547 PA Primary

Addresses

Primary practice location

2793 Geryville Pike Ste 200
Pennsburg, PA 18073

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6048

Other practice location 1

2830 Easton Ave
Bethlehem, PA 18017-4204
Phone (484) 526-3555

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
I20180814003614 PA Practitioner - Family Practice 6608159827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
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)

2793 Geryville Pike
Pennsburg, PA 18073-2306

801 Ostrm St
Bethlehem, PA 18015-1000

925 Main St
Suite 100
Pennsburg, PA 18073-1631
Phone (215) 679-4421

Suite
Suite 201
Pennsburg, PA 18073-2306
Phone (267) 985-5100

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016547PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Family Medicine CurrentSince Jul 24, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jul 24, 2018 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

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

2793 Geryville Pike
Ste 200
Pennsburg, PA 18073
Phone (267) 424-8200

925 Main St
Ste 100
Pennsburg, PA 18073
Phone (215) 541-1333

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1447631155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6048",
            "fax_number": "833-213-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 GERYVILLE PIKE STE 200",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "18073",
            "telephone_number": "267-424-8200",
            "fax_number": "866-395-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180174204",
            "country_code": "US",
            "telephone_number": "484-526-3555",
            "fax_number": "484-526-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPERAVAGE",
        "first_name": "BRITTANY",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsburg, PA

Sources for this page

Verify at the official NPI Registry.