BUSHKILL FAMILY PRACTICE
NPI 1063463701
Family Medicine in Wind Gap, PA
About Bushkill Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUSHKILL FAMILY PRACTICE (NPI 1063463701) is a healthcare organization registered as a family medicine in Wind Gap, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Susan Chiavaroli, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bushkill Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,841Medicare enrollment records show 2,841 clinicians reassign Medicare billing to Bushkill Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 119 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 2,841Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D0896604
Bushkill Family Practice · Wind Gap, PAFrequently 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 St. Luke's Physician Group, Inc.'s NPI number?
The NPI number for St. Luke's Physician Group, Inc. is 1063463701. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Bushkill Family Practice.
Where is St. Luke's Physician Group, Inc. located?
St. Luke's Physician Group, Inc. is located at 497 Bushkill Plaza Ln, Wind Gap, PA 18091. The listed phone number is (610) 863-7020.
What is St. Luke's Physician Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is St. Luke's Physician Group, Inc. enrolled in Medicare?
Yes. St. Luke's Physician Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Luke's Physician Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,841 clinicians in 71 Medicare specialties reassign their Medicare billing to St. Luke's Physician Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (510), Internal Medicine (308) and Family Practice (274). Of these, 3 practice at this address and 119 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Luke's Physician Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0896604) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St. Luke's Physician Group, Inc. was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Bushkill Family Practice · NPI 1063463701
Family Medicine organization in Wind Gap, Pennsylvania. Organization record, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1063463701 (Entity type: Organization)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** St. Luke's Physician Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Susan Chiavaroli, MANAGER
## Practice location
- **Address:** 497 BUSHKILL PLAZA LN, Wind Gap, PA 18091-9665
- **Phone:** (610) 863-7020 · **Fax:** (866) 833-9399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,841 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (510), Internal Medicine (308), Family Practice (274); 3 practice at this address and 119 within 10 miles; [full list](https://npiprofile.com/npi/1063463701/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2022
- **Other identifiers:** Medicaid 1007307530018 (PA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1063463701) · Data from the CMS NPPES public registry.