NPIMap

Individual provider Active NPI

Jan S. Ulbrecht, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • State College, PA
National Provider Identifier
1730142977
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD030063E Issued in PA
Practice address
1850 E Park Ave
Suite 312
State College, PA 16803-6706
Phone
(814) 689-3156
Fax
(814) 689-1954
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD030063E PA Primary

Addresses

Primary practice location

1850 E Park Ave
Suite 312
State College, PA 16803-6706

Mailing address

1850 E Park Ave
Suite 312
State College, PA 16803-6706
Phone (814) 689-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000618 PA Practitioner - Endocrinology 0547398281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1061 N Front St
2 Mount Nittany Physician Group
Philipsburg, PA 16866-8257
Phone (814) 376-6200

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

3631 Penns Valley Rd
Spring Mills, PA 16875-8011
Phone (814) 422-8873

96 Kish Rd
Reedsville, PA 17084-8943
Phone (717) 667-7720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jan 1, 2011 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1061 N Front St
Ste 2
Philipsburg, PA 16866
Phone (814) 231-7888

96 Kish Rd
Reedsville, PA 17084
Phone (717) 667-7720

3631 Penns Valley Rd
Spring Mills, PA 16875
Phone (814) 231-7100

120 Radnor Rd
Ste 100
State College, PA 16801
Phone (814) 231-7125

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

1850 E Park Ave
Fl 2
State College, PA 16803
Phone (814) 237-3470

143 Hospital Dr
Ste 312
State College, PA 16803
Phone (814) 235-2480

1850 E Park Ave
#201
State College, PA 16803
Phone (814) 234-8800

1850 E Park Ave
State College, PA 16803
Phone (814) 234-6750

Organizations & group practices 3

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 56

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1730142977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE",
            "address_2": "SUITE 312",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-689-3156",
            "fax_number": "814-689-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE",
            "address_2": "SUITE 312",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-689-3156",
            "fax_number": "814-689-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULBRECHT",
        "first_name": "JAN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD030063E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.