NPIMap

Individual provider Active NPI

John Showalter, M.D.

  • Internal Medicine Physician
  • Danville, PA
National Provider Identifier
1609082064
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD435403 Issued in PA
Practice address
1238 Bloom Rd
Danville, PA 17821-6765
Phone
(570) 284-7405
Fax
(833) 974-3566
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21686 MS
Internal Medicine Physician 207R00000X MD435403 PA Primary

Addresses

Primary practice location

1238 Bloom Rd
Danville, PA 17821-6765

Mailing address

1238 Bloom Rd
Danville, PA 17821-6765
Phone (570) 284-7405

Other identifiers 3

IdentifierTypeStateIssuer
1022785250001MedicaidPA
P01402430OtherMSRR MEDICARE
09889291MedicaidMS

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
I20240219000130 PA Practitioner - Internal Medicine 9931253911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1238 Bloom Rd
Danville, PA 17821-6765
Phone (570) 284-7405

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21686MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitruvian Consulting Group LLC Internal Medicine CurrentSince Jan 4, 2024 Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients

Locations

1238 Bloom Rd
Danville, PA 17821
Phone (570) 284-7405

Interoperability endpoints

  • Direct secure messaging: john.showalter.1@28862.direct.athenahealth.com

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1609082064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178216765",
            "telephone_number": "570-284-7405",
            "fax_number": "833-974-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178216765",
            "telephone_number": "570-284-7405",
            "fax_number": "833-974-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "21686",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD435403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022785250001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01402430",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09889291",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.