NPIMap

Individual provider Active NPI

Vitaly Geyfman, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Scranton, PA
National Provider Identifier
1558339143
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
OS012775 Issued in PA
Practice address
746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624
Phone
(570) 342-1776
Fax
(570) 963-0663
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X OS012775 PA Primary

Addresses

Primary practice location

746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624

Mailing address

746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624
Phone (570) 342-1776

Other identifiers 1

IdentifierTypeStateIssuer
101176511MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vitaly.geyfman.1@21771.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000062 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6901864610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scranton Cardiovascular Physician Services LLCGroup PAC ID 6204097975, 17 clinicians

Practice addresses (Care Compare)

677 Roosevelt Hwy
Waymart, PA 18472-3117
Phone (570) 488-9930

743 Jefferson Ave
Suite 305
Scranton, PA 18510-1639
Phone (570) 342-1776

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 342-1776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012775PAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Cardiovascular Physician Services LLC CurrentSince Mar 1, 2012 Accepting new patients
Great Valley Cardiology Associates Current Accepting new patients

Locations

746 Jefferson Ave
Ste 305
Scranton, PA 18510
Phone (570) 342-1776

677 Roosevelt Hwy
Waymart, PA 18472
Phone (570) 488-9930

Organizations & group practices 2

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1558339143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-342-1776",
            "fax_number": "570-963-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-342-1776",
            "fax_number": "570-963-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYFMAN",
        "first_name": "VITALY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "OS012775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101176511",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vitaly.geyfman.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "746 Jefferson Ave",
            "address_2": "Suite 305",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.