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Individual provider Active NPI

Kathryn Ann Ungurean

  • Surgical Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1801435714
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
OA005168 Issued in PA
Practice address
2101 State Hill Rd Ste 5
Wyomissing, PA 19610-1993
Phone
(610) 898-2490
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061365 PA
Surgical Physician Assistant 363AS0400X OA005168 PA Primary

Addresses

Primary practice location

2101 State Hill Rd Ste 5
Wyomissing, PA 19610-1993

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 270-7688

Other practice location 1

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7688

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
I20200219000150 PA Practitioner - Physician Assistant 9931536653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Urgent Care, LLCGroup PAC ID 2668716069, 57 clinicians

Practice addresses (Care Compare)

1050 E Philadelphia Ave
Gilbertsville, PA 19525-9517
Phone (610) 561-6400

2101 State Hill Rd
Suite 5
Wyomissing, PA 19610-1993
Phone (610) 898-2490

33 W Ridge Pike
Suite 627
Limerick, PA 19468-1824
Phone (610) 226-6200

4603 Perkiomen Ave
Reading, PA 19606-3217
Phone (484) 750-3895

4860 Penn Ave
Sinking Spring, PA 19608-8601
Phone (484) 659-1520

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
77.28 of 100Reported as group
Quality
82.46
Promoting interoperability
97
Improvement activities
40
Cost
44.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061365PAMDPhysician Assistant
OA005168PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Good Samaritan Hospital of Lebanon, Pennsylvania CurrentSince Aug 26, 2021 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Jan 1, 2020 Accepting new patients

Locations

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1801435714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-270-7688",
            "fax_number": "717-270-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STATE HILL RD STE 5",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101993",
            "telephone_number": "610-898-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7688",
            "fax_number": "717-270-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNGUREAN",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061365",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "OA005168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.