NPIMap

Individual provider Active NPI

Renee Maria Dougherty, D.O.

  • Internal Medicine Physician
  • Hazleton, PA
National Provider Identifier
1609260835
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS023358 Issued in PA
Practice address
1000 Alliance Dr
Hazleton, PA 18202-3234
Phone
(484) 672-8810
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS023358 PA Primary

Addresses

Primary practice location

1000 Alliance Dr
Hazleton, PA 18202-3234

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190618002274 NJ Practitioner - Internal Medicine 3779820469 Reassigns benefits to 1 organization
I20240312000100 PA Practitioner - Internal Medicine 3779820469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

114 LT Michael Cleary Dr
Dallas, PA 18612-1649
Phone (570) 675-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
66.14
Promoting interoperability
85
Improvement activities
40
Cost
74.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jan 20, 2025 Accepting new patients
Hazleton Professional Services Internal Medicine CurrentSince Mar 4, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 4, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jan 20, 2025 Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine PastSince Jun 17, 2019 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

55 N Gilbert St
Ste 3201
Tinton Falls, NJ 07701
Phone (732) 264-1132

2100 Mack Blvd
Fl 4
Allentown, PA 18103

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

1000 Alliance Dr
Hazleton, PA 18202
Phone (570) 501-6400

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

Interoperability endpoints

  • Direct secure messaging: renee.dougherty@direct.hackensackmeridian.org
  • Direct secure messaging: rdougherty626243@direct.geisinger.edu
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 8

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1609260835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ALLIANCE DR",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182023234",
            "telephone_number": "484-672-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "RENEE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS023358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.