Individual provider Active NPI

Joseph Biancarelli, MD

  • Emergency Medicine Physician
  • Carbondale, PA
National Provider Identifier
1548246713
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD056700L Issued in PA
Practice address
100 Lincoln Ave
Carbondale, PA 18407-2170
Phone
(570) 281-1004
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD056700L PA Primary
Internal Medicine Physician 207R00000X MD056700L PA

Addresses

Primary practice location

100 Lincoln Ave
Carbondale, PA 18407-2170

Mailing address

66 West Gilbert Street
2ND Floor
Red Bank, NJ 07701-4918
Phone (732) 212-0051

Other identifiers 4

IdentifierTypeStateIssuer
000784445OtherPAHIGHMARK BLUE SHIELD
0015279460003MedicaidPA
821985OtherPAFIRST PRIORITY HEALTH
P00426636OtherPARAILROAD MEDICARE

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
I20070206000608 PA Practitioner - Internal Medicine 4385646215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucktail Medical Center 4 clinicians

Practice addresses (Care Compare)

1001 Pine St
Renovo, PA 17764-1618
Phone (570) 923-1019

Hospital & facility affiliations

  • Bucktail Medical Center Hospital, Renovo, PA, CCN 391304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056700LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucktail Medical Center CurrentSince Jun 10, 2024 Accepting new patients
Bucktail Medical Center CurrentSince Jun 10, 2024 Accepting new patients
Bucktail Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Incare LLC Internal Medicine Past Accepting new patients

Locations

1001 Pine St
Renovo, PA 17764
Phone (570) 923-1000

Interoperability endpoints

  • Direct secure messaging: jbiancarelli87878@direct-guthrie.org

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1548246713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEST GILBERT STREET",
            "address_2": "2ND FLOOR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014918",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINCOLN AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072170",
            "telephone_number": "570-281-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCARELLI",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD056700L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD056700L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000784445",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015279460003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "821985",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426636",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.