Active NPI
Camilo Alcoseba, M.D.
- Therapeutic Radiology Physician
- Bethlehem, PA
National Provider Identifier
1689627697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- MD037211L
- Practice address
- 801 Ostrum St
St. Luke'S Hospital
Bethlehem, PA 18015-1000 - Phone
- (610) 954-4300
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | MD037211L | PA | Primary |
Addresses
Primary practice location
801 Ostrum St
St. Luke'S Hospital
Bethlehem, PA 18015-1000
Mailing address
PO Box 20725
Lehigh Valley, PA 18002-0725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01864893 | Medicaid | PA | |
| 920006466 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070921000013 | PA | Practitioner - Radiation Oncology | 7517051584 | Reassigns benefits to 1 organization |
| I20251216005000 | SC | Practitioner - Radiation Oncology | 7517051584 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Pulmonary Sleep Medicine | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
5018 Medical Center Cir
Ste 101A
Allentown, PA 18106
Phone (484) 526-3569
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
989 Ribaut Rd
Beaufort, SC 29902
Phone (843) 522-5900
989 Ribaut Rd
Ste 130
Beaufort, SC 29902
Phone (843) 522-7800
122 Okatie Center Blvd N
Ste 130
Okatie, SC 29909
Phone (843) 273-7980
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Sleep Medicine (Internal Medicine) Physician
- Fountain Hill, PA
- NPI 1932775483
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
Hospital
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Atrium Way
Suite 235
Columbia, SC 29223-6383
Hospital & facility affiliations
- Franciscan Health Lafayette
- Wilkes-Barre General Hospital
- Beaufort County Memorial Hospital
- Franciscan Health Crawfordsville
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1689627697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20725",
"city": "LEHIGH VALLEY",
"state": "PA",
"postal_code": "180020725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"address_2": "ST. LUKE'S HOSPITAL",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "610-954-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCOSEBA",
"first_name": "CAMILO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "PA",
"license": "MD037211L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01864893",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "920006466",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.