Individual provider Active NPI

Thomas F Samluk, CRNP

  • Psychiatry Physician
  • Norristown, PA
National Provider Identifier
1619048311
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SP008136 Issued in PA
Practice address
50 Beech Drive
Norristown, PA 19403-5421
Phone
(610) 279-6100
Fax
(610) 279-0928
NPI assigned
Nov 13, 2006
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X SP008136 PA Primary

Addresses

Primary practice location

50 Beech Drive
Norristown, PA 19403-5421

Mailing address

50 Beech Drive
Norristown, PA 19403-5421
Phone (610) 279-6100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000245 PA Practitioner - Nurse Practitioner 2264428341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians

Practice addresses (Care Compare)

305 2ND Ave
Collegeville, PA 19426-2658
Phone (610) 323-6835

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
73.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008136PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Clinic Company LLC CurrentSince Dec 10, 2018 Accepting new patients

Locations

305 Second Ave
Collegeville, PA 19426
Phone (484) 961-8220

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1619048311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEECH DRIVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035421",
            "telephone_number": "610-279-6100",
            "fax_number": "610-279-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEECH DRIVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035421",
            "telephone_number": "610-279-6100",
            "fax_number": "610-279-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMLUK",
        "first_name": "THOMAS",
        "middle_name": "F",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "SP008136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.