ILANA S PRICE MD
NPI 1467612978
Pediatrics in West Reading, PA
NPI Status: Active since June 10, 2008
Contact Information
6TH AVE AND SPRUCE STREET
RHPN PEDIATRIC HOSPITALIST
WEST READING, PA
ZIP 19611
Phone: (484) 628-2501
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ILANA PRICE
This page provides the complete NPI Profile along with additional information for Ilana Price, a pediatrician established in West Reading, Pennsylvania with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1467612978 assigned on June 2008. The practitioner's primary taxonomy code is 208000000X with license number 261730 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1467612978
- Provider Name
- ILANA S PRICE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6TH AVE AND SPRUCE STREET RHPN PEDIATRIC HOSPITALIST WEST READING, PA 19611
- Location Phone
- (484) 628-2501
- Mailing Address
- PO BOX 13579 MEDICUS ENROLLMENT READING, PA 19612
- Mailing Phone
- (484) 628-0799
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2008
- Last Update Date
- 10-03-2014
- Code Navigator
A pediatrician like Ilana Price is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 261730
- License State
- NY
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ilana Price is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19611 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 4 | 6 | 7 | 6 | 1 | 2 | 9 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 1 | 4 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 1 + 4 + 9 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1467612978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538121660 | DENNIS JOHN PELLECCHIA MD Individual | Anesthesiology | 6TH AVE AND SPRUCE STREET READING ANESTHESIA ASSOCIATES LTD WEST READING, PA 19611 (610) 988-8589 |
| 1073577714 | CAROL SZARKO MD Individual | Anesthesiology | 6TH AVE AND SPRUCE STREET READING ANESTHESIA ASSOCIATES LTD WEST READING, PA 19611 (610) 988-8589 |
| 1386694610 | BENJAMIN LLOYD M.D. Individual | Internal Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-8480 |
| 1225221336 | MRS. CINDY GAIL WILKINS-RHODES COTA/L Individual | Occupational Therapy Assistant | 6TH AVE AND SPRUCE STREET READING HOSPITAL & MEDICAL CENTER WEST READING, PA 19611 (610) 988-8000 |
| 1073769170 | MANOJ KUMAR SINGLA MD Individual | Internal Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-5455 |
| 1093968638 | CARLY SMITH PA-C Individual | Physician Assistant | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 568-3637 |
| 1346484433 | DR. MATTHEW D GROVE MD Individual | Emergency Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-9293 |
| 1972824456 | DENISE SNYDER CRNP Individual | Nurse Practitioner (Neonatal) | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-8843 |
| 1750647541 | KRISTINA BOOKWALTER CRNP Individual | Nurse Practitioner | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 568-3637 |
| 1861751315 | SARAH LUBER DO Individual | Internal Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-5455 |
| 1396070330 | KAREN KRAUSE FAIRCHILD RN, MSN, FNP-BC Individual | Nurse Practitioner (Family) | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 568-3637 |
| 1841593928 | CECELIA PATRICE KANE MD Individual | Psychiatry & Neurology (Psychiatry) | 6TH AVE AND SPRUCE STREET BUILDING K WEST READING, PA 19611 (484) 628-8070 |
| 1699927434 | JAMIE M BUEMI PA Individual | Physician Assistant | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 568-3637 |
| 1063703130 | DANIEL BALLANTINE DO Individual | Internal Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-5455 |
| 1477595445 | JOHN K DERDERIAN DO Individual | Internal Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (484) 628-5455 |
| 1184698078 | DR. DEBRA K HERMANY DO Individual | Emergency Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (484) 628-5637 |
| 1609167287 | COLIN MURPHY MD Individual | Radiology (Radiation Oncology) | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (484) 628-8067 |
| 1982827564 | MRS. TIERRA DELA CRUZ PARK PA-C Individual | Physician Assistant | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (484) 628-3637 |
| 1083973523 | JAMES COYLE DO Individual | Internal Medicine | 6TH AVE AND SPRUCE STREET WEST READING, PA 19611 (610) 988-5455 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467612978, enumerated in the NPI registry as an "individual" on June 10, 2008
The provider is located at 6th Ave And Spruce Street Rhpn Pediatric Hospitalist West Reading, Pa 19611 and the phone number is (484) 628-2501
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 10, 2008. 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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