Individual provider Active NPI

Terry D Bauch, M.D.

  • Cardiovascular Disease Physician
  • Wilkes Barre, PA
National Provider Identifier
1790774768
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD052361L Issued in PA
Practice address
1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3610
Phone
(570) 808-6020
Fax
(570) 808-2306
NPI assigned
Oct 20, 2005
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101273997 VA
Cardiovascular Disease Physician 207RC0000X K6811 TX
Cardiovascular Disease Physician 207RC0000X MD052361L PA Primary

Addresses

Primary practice location

1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3610

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbauch88585@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, IN, SC, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20100903000610 PA Practitioner - Cardiovascular Disease (Cardiology) 8628170065 Reassigns benefits to 2 organizations
I20220713001966 VA Practitioner - Cardiovascular Disease (Cardiology) 8628170065 Reassigns benefits to 2 organizations
I20221102000788 IN Practitioner - Cardiovascular Disease (Cardiology) 8628170065 Reassigns benefits to 1 organization
I20250109002612 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8628170065 Reassigns benefits to 5 organizations
I20250729003208 IL Practitioner - Cardiovascular Disease (Cardiology) 8628170065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians
McLeod Loris Seacoast HospitalGroup PAC ID 9133394398, 57 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

12200 Warwick Blvd
Suite 590B
Newport News, VA 23601-2344
Phone (757) 594-2074

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 390-8100

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD052361LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Nov 28, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Oct 24, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Feb 27, 2024 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 24, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 24, 2024 Accepting new patients
Lutheran Medical Group LLC Cardiovascular Disease CurrentSince Oct 26, 2022 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Sentara Medical Group Cardiovascular Disease CurrentSince Aug 8, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 24, 2024 Accepting new patients
McLeod Health Cheraw CurrentSince Nov 28, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Apr 4, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Oct 24, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2010 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 24, 2024 Accepting new patients
Cardiology Consultants of Philadelphia, P.C. Cardiovascular Disease CurrentSince Jun 25, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Feb 27, 2024 Accepting new patients
Lutheran Medical Group LLC CurrentSince Oct 26, 2022 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 24, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 24, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2010 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

100 N Academy Ave
Danville, PA 17822

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

19375 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 534-9988

Interoperability endpoints

  • Direct secure messaging: tbauch88585@direct.geisinger.edu
  • Direct secure messaging: terry.bauch.1@11356.direct.athenahealth.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1790774768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST MOUNTAIN BLVD.",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187113610",
            "telephone_number": "570-808-6020",
            "fax_number": "570-808-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUCH",
        "first_name": "TERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101273997",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K6811",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD052361L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbauch88585@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 East Mountain Blvd.",
            "city": "Wilkes-barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187113610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.