Active NPI
Jer Yuan Tsai, M.D.
- Internal Medicine Physician
- Carmichaels, PA
National Provider Identifier
1477543817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD035272L
- Practice address
- 601 W George St
Carmichaels, PA 15320-1325 - Phone
- (724) 966-5081
- Fax
- (724) 966-9002
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Fredericktown, PA
- NPI 1568443034
Internal Medicine
-
- Radiologic Technologist
- Fredericktown, PA
- NPI 1568566867
-
- Clinical Medical Laboratory
- Fredericktown, PA
- NPI 1811978166
-
- Cardiovascular Disease Physician
- Fredericktown, PA
- NPI 1902887250
-
- Podiatrist
- Fredericktown, PA
- NPI 1922089275
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100524000134 | PA | Practitioner - Internal Medicine | 5890824270 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Internal Medicine | Current | Accepting new patients |
| Centerville Clinics, Inc. | Current | Accepting new patients |
Locations
601 W George St
Carmichaels, PA 15320
Phone (724) 966-5081
1070 Old National Pike
Fredericktown, PA 15333
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD035272L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
601 W George St
Carmichaels, PA 15320-1325
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0729670 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2011.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1477543817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 OLD NATIONAL PIKE",
"city": "FREDERICKTOWN",
"state": "PA",
"postal_code": "153332114",
"telephone_number": "724-632-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W GEORGE ST",
"city": "CARMICHAELS",
"state": "PA",
"postal_code": "153201325",
"telephone_number": "724-966-5081",
"fax_number": "724-966-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAI",
"first_name": "JER",
"middle_name": "YUAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD035272L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0729670",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichaels, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.