Individual provider Active NPI

Emilia Secheresiu, MD

  • Internal Medicine Physician
  • Weatherly, PA
National Provider Identifier
1982681474
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD048840L Issued in PA
Practice address
500 First St
Weatherly, PA 18255
Phone
(570) 427-8643
Fax
(570) 427-8044
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35061595S OH
Internal Medicine Physician 207R00000X MD048840L PA Primary

Addresses

Primary practice location

500 First St
Weatherly, PA 18255

Mailing address

415 Centre St
Freeland, PA 18224
Phone (570) 636-5431

Other identifiers 3

IdentifierTypeStateIssuer
002253OtherPAFIRST PRIORITY HEALTH
0000736656OtherPABLUE SHIELD
0014086130005MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000047 PA Practitioner - Internal Medicine 2769665744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
66.14
Promoting interoperability
85
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061595SOHMDInternal Medicine Physician
MD048840LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Apr 1, 2016 Accepting new patients
Hazleton Professional Services Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

500 1st St
#A
Weatherly, PA 18255
Phone (570) 427-8643

500 1st St
Weatherly, PA 18255
Phone (570) 427-8643

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1982681474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CENTRE ST",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "18224",
            "telephone_number": "570-636-5431",
            "fax_number": "570-636-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FIRST ST",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "18255",
            "telephone_number": "570-427-8643",
            "fax_number": "570-427-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECHERESIU",
        "first_name": "EMILIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35061595S",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD048840L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "002253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0000736656",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014086130005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherly, PA

Sources for this page

Verify at the official NPI Registry.