NPIMap

Individual provider Active NPI

Peter G Gregory, MD

  • Diagnostic Radiology Physician
  • Clarks Summit, PA
National Provider Identifier
1639285521
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD051388L Issued in PA
Practice address
638 Fairview Rd
Clarks Summit, PA 18411-8955
Phone
(570) 281-1315
Fax
(570) 281-1256
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD051388L PA
Diagnostic Radiology Physician 2085R0202X MD051388L PA Primary
Diagnostic Ultrasound Physician 2085U0001X MD051388L PA

Addresses

Primary practice location

638 Fairview Rd
Clarks Summit, PA 18411-8955

Mailing address

PO Box 517
Carbondale, PA 18407-0517
Phone (570) 281-1287

Other identifiers 1

IdentifierTypeStateIssuer
1442778MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080508000553 PA Practitioner - Diagnostic Radiology 4082717897 Reassigns benefits to 1 organization
I20081204000904 MD Practitioner - Diagnostic Radiology 4082717897 Reassigns benefits to 1 organization
I20200723001067 NJ Practitioner - Diagnostic Radiology 4082717897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians

Practice addresses (Care Compare)

1229 Monroe Ave
Scranton, PA 18509-2807
Phone (570) 346-5115

21 Old Stevens LN
Voorhees, NJ 08043-3417
Phone (412) 230-8200

5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051388LPAMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Community Hospital Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince Apr 2, 2024 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jan 18, 2021 Accepting new patients
Lackawanna Mobile X-Ray, Inc. CurrentSince Dec 7, 2005 Accepting new patients
Fayette Physician Network Inc CurrentSince Apr 2, 2024 Accepting new patients
Delta Medix PC Current Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Feb 15, 2024 Accepting new patients
Northern Tier Imaging Corp Diagnostic Radiology Past Accepting new patients
Vascular Diagnostic Center PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Wyoming Valley, Inc Diagnostic Radiology Past Accepting new patients
M Radiological Associates, PC Past Accepting new patients

Locations

15 Cumberland St
Cumberland, MD 21502
Phone (301) 777-8717

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1229 Monroe Ave
Scranton, PA 18509
Phone (570) 344-1112

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 12

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 11

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1639285521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070517",
            "telephone_number": "570-281-1287",
            "fax_number": "570-281-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 FAIRVIEW RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184118955",
            "telephone_number": "570-281-1315",
            "fax_number": "570-281-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "PETER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD051388L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD051388L",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PA",
            "license": "MD051388L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442778",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.