Individual provider Active NPI

Charles J Lusch, MD

  • Hematology & Oncology Physician
  • West Reading, PA
National Provider Identifier
1780645523
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD006507E Issued in PA
Practice address
S 6TH Ave & Spruce St
Trhmc Regional Cancer Center N Ground
West Reading, PA 19611
Phone
(610) 374-4404
Fax
(610) 374-1396
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD006507E PA Primary

Addresses

Primary practice location

S 6TH Ave & Spruce St
Trhmc Regional Cancer Center N Ground
West Reading, PA 19611

Mailing address

PO Box 16052
Reading, PA 19612-6052
Phone (610) 374-4404

Other identifiers 6

IdentifierTypeStateIssuer
110039794OtherRAILROAD MEDICARE
20015345OtherAMERIHEALTH MERCY
017955OtherPAHIGHMARK BLUE SHIELD
0006470550001MedicaidPA
87786OtherUNISON
01385901OtherPACAPITAL BLUE CROSS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD006507EPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Hematology Oncology Assoc LTD Hematology & Oncology Current Accepting new patients

Locations

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

Organizations & group practices 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1780645523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16052",
            "city": "READING",
            "state": "PA",
            "postal_code": "196126052",
            "telephone_number": "610-374-4404",
            "fax_number": "610-374-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S 6TH AVE & SPRUCE ST",
            "address_2": "TRHMC REGIONAL CANCER CENTER N GROUND",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "610-374-4404",
            "fax_number": "610-374-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCH",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD006507E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110039794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20015345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "017955",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006470550001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "87786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01385901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.