NPIMap

Individual provider Active NPI

Michael David Sobolewski, D.O.

  • Orthopaedic Surgery Physician
  • Lewistown, PA
National Provider Identifier
1811143027
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS015012 Issued in PA
Practice address
310 Electric Ave Ste 240
Lewistown, PA 17044-1369
Phone
(717) 242-8124
Fax
(717) 242-8125
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OT012447 PA
Orthopaedic Surgery Physician 207X00000X OS015012 PA Primary

Addresses

Primary practice location

310 Electric Ave Ste 240
Lewistown, PA 17044-1369

Mailing address

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

Other practice location 1

126 E Church St Ste 2100
Somerset, PA 15501
Phone (814) 443-1281

Other identifiers 4

IdentifierTypeStateIssuer
0015083500032MedicaidPA
710929OtherPAMEDICARE
CI6140OtherPARAILROAD MEDICARE
002982424OtherPABLUE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address msobolewski183464@direct.geisinger.edu Direct
Direct Messaging Address msobolewski183464@direct.geisinger.edu Direct

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
I20130812000455 PA Practitioner - Orthopedic Surgery 5799927315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

310 Electric Ave
240 Geisinger Orthopaedic Institute L
Lewistown, PA 17044-1369
Phone (717) 242-8124

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015012PAMDOrthopaedic Surgery Physician
OT012447PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Aug 12, 2019 Accepting new patients
Geisinger Clinic CurrentSince Aug 12, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture LLC Orthopaedic Surgery CurrentSince Oct 1, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Somerset Health Services Inc Past Accepting new patients
Somerset Health Services, Inc. Orthopaedic Surgery Past Accepting new patients
Somerset Health Services Inc Past Accepting new patients
Somerset Health Services Inc Past Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

310 Electric Ave
Ste 240
Lewistown, PA 17044
Phone (717) 242-8124

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

Interoperability endpoints

  • Direct secure messaging: msobolewski183464@direct.geisinger.edu

Organizations & group practices 15

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 15

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1811143027",
    "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",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ELECTRIC AVE STE 240",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441369",
            "telephone_number": "717-242-8124",
            "fax_number": "717-242-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 E Church St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "15501",
            "country_code": "US",
            "telephone_number": "814-443-1281",
            "fax_number": "814-443-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBOLEWSKI",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT012447",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS015012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015083500032",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "710929",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI6140",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "002982424",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msobolewski183464@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Electric Ave Ste 240",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msobolewski183464@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Electric Ave Ste 240",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.