INTERNAL MEDICINE OF BERWICK PC INC
NPI 1265474670
Internal Medicine in Berwick, PA
NPI Status: Active since June 11, 2006
Contact Information
751 E 16TH ST
SUITE300
BERWICK, PA
ZIP 18603
Phone: (570) 752-5056
- Organization
- Internal Medicine
- CLIA Number: 39D0975175
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-28-2026
About INTERNAL MEDICINE OF BERWICK PC INC
This page provides the complete NPI Profile along with additional information for Internal Medicine Of Berwick Pc Inc, an internist established in Berwick, Pennsylvania operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1265474670 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD067594L (PA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Pavel Pribula M.d. (Owner)
- NPI
- 1265474670
- Provider Name
- INTERNAL MEDICINE OF BERWICK PC INC
- Entity Type
- Organization
- Location Address
- 751 E 16TH ST SUITE300 BERWICK, PA 18603
- Location Phone
- (570) 752-5056
- Mailing Address
- 751 E 16TH ST SUITE300 BERWICK, PA 18603
- Mailing Phone
- (570) 752-5056
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2006
- Last Update Date
- 08-12-2013
- Code Navigator
An internist like Internal Medicine Of Berwick Pc Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD067594L
- License State
- PA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0075190570002 | MEDICAID (05) | PA | |
| G91545 | MEDICARE UPIN (02) | PA | |
| 1348169 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
| 077794 | MEDICARE PIN (08) | PA | |
| 010093500 | OTHER (01) | PA | BLACK LUNG |
| 02305400 | OTHER (01) | PA | CAPITAL BLUE CROSS |
| 1533376 | OTHER (01) | PA | GATEWAY |
| 221084 | OTHER (01) | PA | FIRST PRIORITY HEALTH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D0975175
- Facility Type
- Physician Office
- Certificate Effective Date
- June 29, 2024
- Certificate Expiration Date
- June 28, 2026
- Laboratory Director
- PAVEL PRIBULA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Internal Medicine Of Berwick Pc Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 4 | 7 | 4 | 6 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 8 | 7 | 8 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 8 + 7 + 8 + 6 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1265474670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164422861 | DR. FRANK GEGWICH M.D. Individual | Internal Medicine | 751 E 16TH ST SUITE 400 BERWICK, PA 18603 (570) 752-5056 |
| 1043210628 | DR. PAVEL PRIBULA M.D. Individual | Internal Medicine | 751 E 16TH ST SUITE 300 BERWICK, PA 18603 (570) 752-5056 |
| 1184793127 | BERWICK CLINIC COMPANY LLC Organization | Family Medicine | 751 E 16TH ST SUITE 400 BERWICK, PA 18603 (505) 759-5555 |
| 1841311834 | WOMENS HEALTHCARE PROFESSIONALS PC Organization | Obstetrics & Gynecology | 751 E 16TH ST SUITE 100 BERWICK, PA 18603 (570) 759-8050 |
| 1881679744 | DR. LAURA SUSAN SWINGLE MD Individual | Pediatrics | 751 E 16TH ST SUITE 400 BERWICK, PA 18603 (570) 759-5555 |
| 1508805367 | ALVA D SMITH MD PC Organization | Internal Medicine (Cardiovascular Disease) | 751 E 16TH ST SUITE 200 BERWICK, PA 18603 (570) 759-5491 |
| 1235187006 | BERWICK MEDICAL PROFESSIONALS PC Organization | Clinic/Center | 751 E 16TH ST BERWICK, PA 18603 (570) 759-5555 |
| 1124010608 | DR. ALVA D SMITH MD Individual | Internal Medicine (Cardiovascular Disease) | 751 E 16TH ST SUITE 200 BERWICK, PA 18603 (570) 759-5491 |
| 1629880265 | MRS. TIFFANY LYNN JENSEN MHA, MBA Individual | Clinic/Center (Primary Care) | 751 E 16TH ST BERWICK, PA 18603 (570) 294-2095 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265474670, enumerated in the NPI registry as an "organization" on June 11, 2006
The provider is located at 751 E 16th St Suite300 Berwick, Pa 18603 and the phone number is (570) 752-5056
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 39D0975175 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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