Active NPI
Advanced Inpatient Medicine PC
- Hospitalist Physician
- Scranton, PA
National Provider Identifier
1871725366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- ADVANCED INPATIENT MEDICINE PC
- Practice address
- 746 Jefferson Ave FL 4
Scranton, PA 18510-1624 - Phone
- (570) 241-4715
- Fax
- (570) 319-9305
- NPI assigned
- Aug 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Delbrugge
- Title
- Cfo
- Phone
- (443) 949-0814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
746 Jefferson Ave FL 4
Scranton, PA 18510-1624
Mailing address
PO Box 69233
Baltimore, MD 21264-9233
Phone (443) 949-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091125000458 | PA | Part B Supplier - Clinic/Group Practice | 6406995778 |
Receives reassigned benefits from 102 practitioners Practice locations: Honesdale, PA; Scranton, PA |
National Provider Directory
National Provider DirectoryLocations
746 Jefferson Ave
Fl 4
Scranton, PA 18510
Phone (570) 241-4715
Practitioners & affiliated clinicians
Practitioners 102
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sellersville, PA
- NPI 1427369610
PA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1871725366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69233",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649233",
"telephone_number": "443-949-0814",
"fax_number": "443-292-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE FL 4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-241-4715",
"fax_number": "570-319-9305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED INPATIENT MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-17",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "DELBRUGGE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "443-949-0814"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.