NPIMap

Individual provider Active NPI

Michael A Olenginski, D.O.

  • Otolaryngology Physician
  • Kingston, PA
National Provider Identifier
1881624856
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS006897L Issued in PA
Practice address
423 3Rd Ave
Suite C
Kingston, PA 18704-5809
Phone
(570) 714-3434
Fax
(570) 714-6355
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OS006897L PA Primary
Otolaryngic Allergy Physician 207YX0602X OS006897L PA

Addresses

Primary practice location

423 3Rd Ave
Suite C
Kingston, PA 18704-5809

Mailing address

423 3Rd Ave
Suite C
Kingston, PA 18704-5809
Phone (570) 714-3434

Other identifiers 2

IdentifierTypeStateIssuer
078612OtherPAFIRST PRIORITY HEALTH
0012408070004MedicaidPA

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
I20120315000029 PA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6406844224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Surgical Group, PCGroup PAC ID 2365439213, 2 clinicians

Practice addresses (Care Compare)

423 3Rd Ave
Suite C
Kingston, PA 18704-5809
Phone (570) 714-3434

Hospital & facility affiliations

  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • John Heinz Institute of Rehabilitation Medicine Inpatient rehabilitation facility, Wilkes Barre Townshi, PA, CCN 393036

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
60
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Ambulatory Surgical Center, LLC Current Accepting new patients
Sleep Disorders Center of Wyoming Valley, LLC PastSince May 3, 2004 Accepting new patients

Organizations & group practices 3

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1881624856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "address_2": "SUITE C",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-714-3434",
            "fax_number": "570-714-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "address_2": "SUITE C",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-714-3434",
            "fax_number": "570-714-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENGINSKI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OS006897L",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "PA",
            "license": "OS006897L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "078612",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012408070004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.