Individual provider Active NPI

Justin L Knowles, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Danville, PA
National Provider Identifier
1659456861
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD456998 Issued in PA
Practice address
100 North Academy Avenue
Danville, PA 17822-2037
Phone
(570) 271-6389
Fax
(570) 271-6021
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD456998 PA Primary

Addresses

Primary practice location

100 North Academy Avenue
Danville, PA 17822-2037

Mailing address

100 North Academy Avenue
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, UT, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141105000288 AL Practitioner - Emergency Medicine 6204853948 Reassigns benefits to 1 organization
I20191121003043 UT Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 6204853948 Reassigns benefits to 2 organizations
I20200424001760 MT Practitioner - Critical Care (Intensivists) 6204853948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

8 TH Ave C St
Salt Lake City, UT 84143-0002
Phone (801) 408-1146

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Mar 1, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 25, 2019 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Ihc Health Services Inc Critical Care Medicine CurrentSince Nov 7, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 1, 2014 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 25, 2019 Accepting new patients
Lewis and Clark Emergency Physicians P C Emergency Medicine Past Accepting new patients
Clark Fork Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

1806 6th Ave S
Irondale, AL 35210
Phone (205) 975-7389

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

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 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1659456861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVENUE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVENUE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222037",
            "telephone_number": "570-271-6389",
            "fax_number": "570-271-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD456998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.