NPIMap

Individual provider Active NPI

Richard A Prisuta, D.O.

  • Family Medicine Physician
  • Benton, PA
National Provider Identifier
1669468997
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006907L Issued in PA
Practice address
4469 Red Rock Rd
Benton, PA 17814-7606
Phone
(570) 925-6424
Fax
(570) 925-5852
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006907L PA Primary

Addresses

Primary practice location

4469 Red Rock Rd
Benton, PA 17814-7606

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 4

IdentifierTypeStateIssuer
010046082OtherPARAILROAD MEDICARE
01016701OtherPACAPITAL BLUE CROSS
8340OtherPAGEISINGER HEALTH PLAN
001289227MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rprisuta50446@direct.geisinger.edu Direct

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
I20091009000231 PA Practitioner - Family Practice 6608883855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1988
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)

16 Woodbine Lane
Geisinger Optometry
Danville, PA 17822-5240
Phone (570) 271-6531

Hospital & facility affiliations

  • Compass Home Health and Rehab LLC Home health agency, Plains, PA, CCN 397466
  • Commonwealth Home Health & Hospice of Berwick Home health agency, Berwick, PA, CCN 397272
  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Family Care Home Health, LLC Home health agency, Bloomsburg, PA, CCN 398277
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Geisinger Encompass Health Rehabilitation Hospital Inpatient rehabilitation facility, Danville, PA, CCN 393047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006907LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Sep 12, 2018 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Sep 12, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Bloomsburg Physicians Services Family Medicine Past Accepting new patients
North Columbia Medical Offices, Inc. Family Medicine Past Accepting new patients
Bloomsburg Physicians Services Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4469 Red Rock Rd
Benton, PA 17814
Phone (570) 925-6424

2200 W Front St
Berwick, PA 18603
Phone (570) 759-1228

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320

42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660

4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200

16 Woodbine Ln
Danville, PA 17821
Phone (570) 271-6531

100 N Academy Ave
Danville, PA 17822

515 Jerseytown Rd
Millville, PA 17846
Phone (570) 458-5597

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: rprisuta50446@direct.geisinger.edu

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1669468997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "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": "4469 RED ROCK RD",
            "city": "BENTON",
            "state": "PA",
            "postal_code": "178147606",
            "telephone_number": "570-925-6424",
            "fax_number": "570-925-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISUTA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006907L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010046082",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01016701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "8340",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001289227",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rprisuta50446@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4469 Red Rock Rd",
            "city": "Benton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178147606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Benton, PA

Sources for this page

Verify at the official NPI Registry.