NPIMap

Organization Active NPI

Carlisle Pediatric Associates

  • Pediatrics Physician
  • Carlisle, PA
National Provider Identifier
1467408211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CARLISLE PEDIATRIC ASSOCIATES
Practice address
804 Belvedere St
Carlisle, PA 17013-4001
Phone
(717) 243-1653
Fax
(717) 243-6708
NPI assigned
May 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen J Krebs, M.D.NPI 1235179276
Title
President
Phone
(717) 243-1653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

804 Belvedere St
Carlisle, PA 17013-4001

Mailing address

804 Belvedere St
Carlisle, PA 17013-4001
Phone (717) 243-1653

Other identifiers 5

IdentifierTypeStateIssuer
0010058070001MedicaidPA
0153762OtherPAHIGHMARK PROVIDER NUMBER
1040706OtherPAGATEWAY PROVIDER NUMBER
02582300OtherPACAPITOL BLU E CROSS PROVI
61860OtherPAAETNA PROVIDER NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0185650Carlisle Pediatric Associates Lab804 Belvedere Street, Carlisle, PA 17013Certificate of waiverDec 24, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467408211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BELVEDERE ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134001",
            "telephone_number": "717-243-1653",
            "fax_number": "717-243-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BELVEDERE ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134001",
            "telephone_number": "717-243-1653",
            "fax_number": "717-243-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-243-1653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010058070001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "0153762",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER NUMBER",
            "identifier": "1040706",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BLU E CROSS PROVI",
            "identifier": "02582300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "61860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.