Individual provider Active NPI

Mehdi Nikparvarfard

  • Internal Medicine Physician
  • Berwick, PA
National Provider Identifier
1699761353
Registry record updated Dec 5, 2008
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD424252 Issued in PA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1010805460001MedicaidPA
2707388MedicaidOH

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomsburg Emergency Physicians, LLC Past Accepting new patients
Express Medical Supply LLC Past Accepting new patients
Incare LLC Internal Medicine PastSince Mar 4, 2004 Accepting new patients
Advanced Urgent Care of Lawrenceville LLC PastSince Mar 4, 2011 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.

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

Verify at the official NPI Registry.