Active NPI
Susan J Probst, MD
- Obstetrics & Gynecology Physician
- West Reading, PA
National Provider Identifier
1538197348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD038524L
- Practice address
- 740 Penn Ave
West Reading, PA 19611-1006 - Phone
- (610) 376-3700
- Fax
- (610) 685-1567
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD038524L | PA | Primary |
Addresses
Primary practice location
740 Penn Ave
West Reading, PA 19611-1006
Mailing address
740 Penn Ave
West Reading, PA 19611-1006
Phone (610) 376-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD038524L | Other | PA | STATE LICENSE |
| TAX ID | Other | 23-2991405 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1538197348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 PENN AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196111006",
"telephone_number": "610-376-3700",
"fax_number": "610-685-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 PENN AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196111006",
"telephone_number": "610-376-3700",
"fax_number": "610-685-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD038524L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD038524L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "23-2991405",
"identifier": "TAX ID",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.