Individual provider Active NPI

Dal S Sperazza, M.D.

  • Psychiatry Physician
  • Kingston, PA
National Provider Identifier
1487685624
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD036948L Issued in PA
Practice address
525 Rear Wyoming Ave
Kingston, PA 18704-3602
Phone
(570) 714-2166
Fax
(570) 714-2177
NPI assigned
Jul 5, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD036948L PA Primary

Addresses

Primary practice location

525 Rear Wyoming Ave
Kingston, PA 18704-3602

Mailing address

525 Rear Wyoming Ave
Kingston, PA 18704-3602
Phone (570) 714-2166

Other identifiers 7

IdentifierTypeStateIssuer
20013574OtherPAAMERIHEALTH ADMINISTRATOR
0005540270007MedicaidPA
100651OtherPAHIGHMARK BLUE SHIELD
AA4036005OtherPAUNITED HEALTH CARE
075825OtherPAFIRST PRIORITY HEALTH
P024073OtherPATRICARE
100651OtherPAFIRST PRIORITY LIFE INS

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
I20100602000421 PA Practitioner - Psychiatry 4880723725 Reassigns benefits to 1 organization
Practice locations: Kingston, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew a Berger MD PCGroup PAC ID 5991791212, 51 clinicians

Practice addresses (Care Compare)

340 Montage Mountain Rd
Moosic, PA 18507-1707
Phone (570) 346-3686

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
69.53
Promoting interoperability
80
Improvement activities
40
Cost
67.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036948LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew a Berger MD PC Psychiatry CurrentSince Jan 24, 2023 Accepting new patients

Locations

340 Montage Mountain Rd
Moosic, PA 18507
Phone (570) 344-9266

Interoperability endpoints

  • Direct secure messaging: dsperazza@berger.medentdirect.com

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1487685624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 REAR WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043602",
            "telephone_number": "570-714-2166",
            "fax_number": "570-714-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 REAR WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043602",
            "telephone_number": "570-714-2166",
            "fax_number": "570-714-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERAZZA",
        "first_name": "DAL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD036948L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "20013574",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005540270007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "100651",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "AA4036005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "075825",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "P024073",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE INS",
            "identifier": "100651",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.