1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINA TALLO
NPI 1023958329
General Practice in Wilkes Barre, PA

Active since March 30, 2026PECOS Enrolled
166 HANOVER ST, WILKES BARRE, PA 18702(570) 808-5674(570) 808-8785 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Gina Tallo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA TALLO (NPI 1023958329) is an individual general practice provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MT236860) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023958329
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGINA TALLO
Location Address166 HANOVER STWilkes Barre, PA 18702-3540
Mailing Address166 Hanover StWilkes Barre, PA 18702-3540
Phone(570) 808-5674
Fax(570) 808-8785
Sole ProprietorNo
Enumeration DateMarch 30, 2026
Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1023958329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MT236860
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
166 HANOVER ST, Wilkes Barre, PA 18702
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Tallo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON RAYMOND WOLOSKI M.D.
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
GEISINGER CLINIC
Internal Medicine
166 HANOVER ST, STE 203
WILKES BARRE, PA 18702
Luzerne County (570) 825-8780
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
DR. KAREN ANN EPHLIN MD
Pediatrics
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
DR. MICHAEL D RUPP M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
166 HANOVER ST, SUITE 305
WILKES BARRE, PA 18702
Luzerne County (570) 826-6875
VINCENT A. DRAPIEWSKI, MD
Internal Medicine (Geriatric Medicine)
166 HANOVER ST, SUITE 102
WILKES BARRE, PA 18702
Luzerne County (570) 822-5191
DR. VINCENT A DRAPIEWSKI MD
Family Medicine (Geriatric Medicine)
166 HANOVER ST, SUITE 102
WILKES BARRE, PA 18702
Luzerne County (570) 822-5191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Tallo's NPI number?

The NPI number for Gina Tallo is 1023958329. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Gina Tallo located?

Gina Tallo practices at 166 Hanover St, Wilkes Barre, PA 18702. The listed phone number is (570) 808-5674.

What is Gina Tallo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gina Tallo enrolled in Medicare?

Yes. Gina Tallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gina Tallo was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.