Individual provider Active NPI

Claire L Streibert, MD

  • Diagnostic Radiology Physician
  • York, PA
National Provider Identifier
1669510640
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD462351 Issued in PA
Practice address
35 Monument Rd Ste 201
York, PA 17403-5074
Phone
(717) 812-4083
NPI assigned
Feb 2, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101243086 VA
Student in an Organized Health Care Education/Training Program 390200000X D0062069 MD
Diagnostic Radiology Physician 2085R0202X MD462351 PA Primary

Addresses

Primary practice location

35 Monument Rd Ste 201
York, PA 17403-5074

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-4083

Other practice location 1

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4420
Phone (703) 698-4483

Other identifiers 5

IdentifierTypeStateIssuer
0105OtherVACAREFIRST BCBS
0101243086OtherVALICENSE
3810012370MedicaidWV
1914289OtherVAAETNA HMO
9471084OtherVAAETNA PPO

Other names 1

  • Claire S Cooney Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000847 PA Practitioner - Diagnostic Radiology 9739289505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062069MDMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 6, 2022 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Feb 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 1, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Sep 8, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Jul 6, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Main Line Health Imaging LP PastSince Aug 6, 2021 Accepting new patients

Locations

23 Bustleton Pike
Feasterville Trevose, PA 19053
Phone (215) 322-5938

821 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-3413

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 160
Meadowbrook, PA 19046
Phone (215) 344-9560

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

1059 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-6320

45 2nd Street Pike
Ste 100
Southampton, PA 18966
Phone (215) 633-3456

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712

Organizations & group practices 9

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 9

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669510640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONUMENT RD STE 201",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035074",
            "telephone_number": "717-812-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 Merrilee Dr",
            "address_2": "STE 230",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314420",
            "country_code": "US",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREIBERT",
        "first_name": "CLAIRE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101243086",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "D0062069",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD462351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0105",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101243086",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012370",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1914289",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9471084",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "COONEY",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.