Individual provider Active NPI

Thomas Bednarek, MD

  • Diagnostic Radiology Physician
  • Kingston, PA
National Provider Identifier
1902893647
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD014146E Issued in PA
Practice address
517 Pierce St
Kingston, PA 18704-5731
Phone
(570) 714-7226
NPI assigned
Sep 27, 2005
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD014146E PA Primary

Addresses

Primary practice location

517 Pierce St
Kingston, PA 18704-5731

Mailing address

517 Pierce St
Kingston, PA 18704-5731
Phone (570) 714-7226

Other identifiers 1

IdentifierTypeStateIssuer
10006847380016MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD014146EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Radiology Associates of Wyoming Valley, Inc Diagnostic Radiology Past Accepting new patients
Insight Health Corp Past Accepting new patients
Vision Imaging of Lebanon LLC Diagnostic Radiology PastSince Sep 29, 2004 Accepting new patients
FRG Central PA PC Diagnostic Radiology Past Accepting new patients
Ekg Associates of Wyoming Valley LLP PastSince Aug 1, 2012 Accepting new patients
Premier Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Wilkes Barre Imaging, LLC Diagnostic Radiology PastSince Oct 1, 2009 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1902893647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-714-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-714-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD014146E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10006847380016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.