Active NPI
Mehdi Nikparvarfard
- Internal Medicine Physician
- Berwick, PA
National Provider Identifier
1699761353
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD424252
- Practice address
- 701 E 16TH St
Berwick, PA 18603-2316 - Phone
- (570) 208-5571
- Fax
- (570) 208-5548
- NPI assigned
- Sep 27, 2005
- Last updated
- Dec 5, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD424252 | PA | Primary |
Addresses
Primary practice location
701 E 16TH St
Berwick, PA 18603-2316
Mailing address
PO Box 1716
Kingston, PA 18704-0716
Phone (570) 208-5571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010805460001 | Medicaid | PA | |
| 2707388 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomsburg Emergency Physicians, LLC | Past | Accepting new patients | |
| Express Medical Supply LLC | Past | Accepting new patients | |
| Incare LLC | Internal Medicine | Past | Accepting new patients |
| Advanced Urgent Care of Lawrenceville LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Oxygen Equipment & Supplies (DME)
- State College, PA
- NPI 1417233545
-
- Family Medicine Physician
- Lawrence TWP, NJ
- NPI 1982910055
-
- Emergency Medicine Physician
- Bloomsburg, PA
- NPI 1336168483
-
- Internal Medicine Physician
- Berwick, PA
- NPI 1457377178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1699761353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1716",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040716",
"telephone_number": "570-208-5571",
"fax_number": "570-208-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 16TH ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032316",
"telephone_number": "570-208-5571",
"fax_number": "570-208-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKPARVARFARD",
"first_name": "MEHDI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD424252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010805460001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2707388",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.