Individual provider Active NPI

James Andrew Tricarico, DO

  • Family Medicine Physician
  • Kingston, PA
National Provider Identifier
1528029006
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010594L Issued in PA
Practice address
499 Wyoming Ave Ste 105
Kingston, PA 18704-3602
Phone
(570) 714-3050
Fax
(570) 714-3055
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 OS010594L PA Primary

Addresses

Primary practice location

499 Wyoming Ave Ste 105
Kingston, PA 18704-3602

Mailing address

457 North Main St
Ste 105
Pittston, PA 18640-2185
Phone (570) 883-9444

Other identifiers 15

IdentifierTypeStateIssuer
002573OtherPAUNITED HEALTHCARE
60253 E180OtherPAGEISINGER HEALTH
001863297001MedicaidPA
1307341OtherPAFIRST PRIORITY LIFE
002627OtherPAFIRST PRIORITY HEALTH
60253 E180OtherPAGEISINGER GOLD
002627OtherPAFIRST PRIORITY HEALTH CAP
080176555OtherPARAILROAD MEDICARE
60253OtherPAGEISINGER CAPITATION
002573OtherPAAETNA
047917OtherPAMEDICARE-MLRM
1307341OtherPAPA BLUE SHIELD
010122600OtherPAFEDERAL BLACK LUNG
2000683000OtherPAPA BS PERSONAL CHOICE
249865OtherPAPHS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtricarico75374@direct.geisinger.edu Direct

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
I20050418000015 PA Practitioner - Family Practice 0547207995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Nov 1, 2011 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic Past Accepting new patients
Wyoming Valley Foot Associates P C Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

499 Wyoming Ave
Ste 105
Kingston, PA 18704
Phone (570) 714-3050

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

457 N Main St
Ste 105
Pittston, PA 18640
Phone (570) 299-2953

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

Interoperability endpoints

  • Direct secure messaging: jtricarico75374@direct.geisinger.edu

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1528029006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 NORTH MAIN ST",
            "address_2": "STE 105",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402185",
            "telephone_number": "570-883-9444",
            "fax_number": "570-883-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 WYOMING AVE STE 105",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043602",
            "telephone_number": "570-714-3050",
            "fax_number": "570-714-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICARICO",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010594L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "002573",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH",
            "identifier": "60253 E180",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001863297001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE",
            "identifier": "1307341",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "002627",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER GOLD",
            "identifier": "60253 E180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH CAP",
            "identifier": "002627",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080176555",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER CAPITATION",
            "identifier": "60253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "002573",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-MLRM",
            "identifier": "047917",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "1307341",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "010122600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS PERSONAL CHOICE",
            "identifier": "2000683000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "249865",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtricarico75374@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "499 Wyoming Ave Ste 105",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187043602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.