NPIMap

Individual provider Active NPI

James P. Restrepo, M.D.

  • Otolaryngology Physician
  • Wyomissing, PA
National Provider Identifier
1972502573
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD030575E Issued in PA
Practice address
985 Berkshire Blvd
Ste 101
Wyomissing, PA 19610-1268
Phone
(610) 374-5599
Fax
(610) 288-8075
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD030575E PA Primary

Addresses

Primary practice location

985 Berkshire Blvd
Ste 101
Wyomissing, PA 19610-1268

Mailing address

985 Berkshire Blvd
Ste 101
Wyomissing, PA 19610-1268
Phone (610) 374-5599

Other identifiers 8

IdentifierTypeStateIssuer
065201OtherPAHIGHMARK BLUE SHIELD
1142932001OtherPACIGNA
30717AOtherPAAMERIHEALTH MERCY
0010787880003MedicaidPA
01487601OtherPACAPITAL BLUE CROSS
0075773000OtherPAINDEPENDENCE BLUE CROSS
55355OtherPAAETNA
0065201OtherPAKEYSTONE HP CENTRAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrestrepo@ent985.medentdirect.com Health Information Exchange (HIE)

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
I20100714000528 PA Practitioner - Otolaryngology 9032213194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, 2,775 clinicians
ENT Head and Neck Specialists, PCGroup PAC ID 3173500451, 11 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone (610) 374-5599

Hospital & facility affiliations

  • Surgical Institute of Reading Hospital, Wyomissing, PA, CCN 390316
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Head & Neck Specialists PC Otolaryngology CurrentSince May 6, 1987 Accepting new patients

Locations

985 Berkshire Blvd
Ste 101
Wyomissing, PA 19610
Phone (215) 374-5599

Interoperability endpoints

  • Direct secure messaging: jrestrepo@ent985.medentdirect.com

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1972502573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 BERKSHIRE BLVD",
            "address_2": "STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101268",
            "telephone_number": "610-374-5599",
            "fax_number": "610-288-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BERKSHIRE BLVD",
            "address_2": "STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101268",
            "telephone_number": "610-374-5599",
            "fax_number": "610-288-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "JAMES",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD030575E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "065201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1142932001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "30717A",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010787880003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01487601",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0075773000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "55355",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HP CENTRAL",
            "identifier": "0065201",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrestrepo@ent985.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "985 Berkshire Blvd",
            "address_2": "Ste 101",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.