Active NPI
Luis A Vera, MD
- Neonatal-Perinatal Medicine Physician
- East Stroudsburg, PA
National Provider Identifier
1922081272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD044330L
- Practice address
- 206 E Brown St
East Stroudsburg, PA 18301-3006 - Phone
- (570) 422-8288
- Fax
- (570) 476-3754
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD044330L | PA | Primary |
Addresses
Primary practice location
206 E Brown St
East Stroudsburg, PA 18301-3006
Mailing address
12 Cherrywood Dr
Wilkes Barre, PA 18702-7256
Phone (570) 881-0305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1248476 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044330L | PA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Quincy Clinic Company LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Wilkes-Barre Clinic Company LLC | Past | Accepting new patients | |
| Scranton Hospital Company LLC | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Physicians Health Alliance
- Family Medicine Physician
- Scranton, PA
- NPI 1508143074
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
dba Regional Hospital of Scranton
- General Acute Care Hospital
- Scranton, PA
- NPI 1881983039
-
- Surgery Physician
- Wilkes Barre, PA
- NPI 1144533670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1922081272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CHERRYWOOD DR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027256",
"telephone_number": "570-881-0305",
"fax_number": "570-330-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-422-8288",
"fax_number": "570-476-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "LUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD044330L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1248476",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.