NPIMap

Individual provider Active NPI

Arthur B Mitchell, MD

  • Family Medicine Physician
  • Kingston, PA
National Provider Identifier
1932177334
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD031584E Issued in PA
Practice address
141 S Maple Ave
Kingston, PA 18704-3310
Phone
(570) 288-0284
Fax
(570) 288-2130
NPI assigned
Mar 10, 2006
Last updated
Dec 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD031584E PA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD031584E PA

Addresses

Primary practice location

141 S Maple Ave
Kingston, PA 18704-3310

Mailing address

141 S Maple Ave
Kingston, PA 18704-3310
Phone (570) 288-0284

Other identifiers 1

IdentifierTypeStateIssuer
1023162MedicaidPA

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
I20050706000762 PA Practitioner - Family PracticePractitioner - Internal Medicine 1355387820 Practice locations: Kingston, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 S Maple Ave
Kingston, PA 18704-3310
Phone (717) 288-0284

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.33 of 100Reported as individual
Quality
48.79
Improvement activities
0
Cost
73.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD031584EPAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkes Barre Hospital Company LLC Past Accepting new patients
Nanticoke Rehabilitation and Healthcare LLC Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1932177334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S MAPLE AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043310",
            "telephone_number": "570-288-0284",
            "fax_number": "570-288-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MAPLE AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043310",
            "telephone_number": "570-288-0284",
            "fax_number": "570-288-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ARTHUR",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD031584E",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "MD031584E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023162",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.