Individual provider Active NPI

Henry Scovern, MD

  • Allergy & Immunology Physician
  • Wyomissing, PA
National Provider Identifier
1699735969
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD027501E Issued in PA
Practice address
1150 Berkshire Blvd.
Suite 170
Wyomissing, PA 19610-1233
Phone
(610) 478-1737
Fax
(610) 478-1407
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD027501E PA Primary

Addresses

Primary practice location

1150 Berkshire Blvd.
Suite 170
Wyomissing, PA 19610-1233

Mailing address

1150 Berkshire Blvd.
Suite 170
Wyomissing, PA 19610-1233
Phone (610) 478-1737

Other identifiers 6

IdentifierTypeStateIssuer
MOS080OtherPAOXFORD HEALTH PLAN
0061713000OtherPAKEYSTONE HEALTH PLAN EAST
4280136OtherPAAETNA
01157101OtherPACAPITAL BLUE CROSS
116629OtherPAPA BLUE SHIELD
00617130000OtherPAINDEPENDENCE BLUE CROSS

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
I20080715000298 PA Practitioner - Allergy/ImmunologyPractitioner - Rheumatology 2264505841 Practice locations: Wyomissing, PA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Rheumatology
Education
George Washington University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Berkshire Blvd
Suite 170
Wyomissing, PA 19610-1233
Phone (610) 478-1737

1150 Berkshire Boulevard
Suite 170
Wyomissing, PA 19610-1233

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Scovern, MD PastSince Jan 1, 1990 Accepting new patients
Paul Turrisi Past Accepting new patients

Organizations & group practices 2

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 7

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1699735969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BLVD.",
            "address_2": "SUITE 170",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101233",
            "telephone_number": "610-478-1737",
            "fax_number": "610-478-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BLVD.",
            "address_2": "SUITE 170",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101233",
            "telephone_number": "610-478-1737",
            "fax_number": "610-478-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVERN",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD027501E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "MOS080",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0061713000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4280136",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01157101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "116629",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "00617130000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.