Jose Sigfredo Subervi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD047480L Issued in PA

Practice address

111TH South 5TH Street
First Floor
Reading, PA 19602

Phone

(610) 504-2257

Fax

(610) 370-7768

NPI assigned

Nov 7, 2007

Last updated

Nov 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1841470739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111TH SOUTH 5TH STREET",
            "address_2": "FIRST FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "19602",
            "telephone_number": "610-504-2257",
            "fax_number": "610-370-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111TH SOUTH 5TH STREET",
            "address_2": "FIRST FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "19602",
            "telephone_number": "610-504-2257",
            "fax_number": "610-370-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBERVI",
        "first_name": "JOSE",
        "middle_name": "SIGFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD047480L",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD047480L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Streeter, RN
• Falynn Marie Strohl, PSYD
• Brianna Stufflet
• Kathryn Ann Stufflet, LCSW
• Virginia Stufflet, RN
• Kim A Sullivan, MA, LPC
• Lindsey Kayla Sullivan, OTR/L
• Shannon Sullivan
• Daniel S Sullum, MD
• Kilah Summers

• Family Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.