GEISINGER PITTSTON RADIOLOGY, A SERVICE OF GWV
NPI 1104292960
Radiology - Diagnostic Radiology in Pittston, PA
About Geisinger Pittston Radiology, A Service Of Gwv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEISINGER PITTSTON RADIOLOGY, A SERVICE OF GWV (NPI 1104292960) is a healthcare organization registered as a diagnostic radiology in Pittston, Pennsylvania and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Cindy L Mull, Director Credentialing/enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Geisinger Pittston Radiology, A Service Of Gwv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 39D0863751
Geisinger Pittston · Pittston, 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 Geisinger Wyoming Valley Medical Center's NPI number?
The NPI number for Geisinger Wyoming Valley Medical Center is 1104292960. It was assigned to this organization in the NPPES registry on August 17, 2015. The provider is doing business as Geisinger Pittston Radiology, A Service Of Gwv.
Where is Geisinger Wyoming Valley Medical Center located?
Geisinger Wyoming Valley Medical Center is located at 42 North Main St, Pittston, PA 18640. The listed phone number is (570) 654-0880.
What is Geisinger Wyoming Valley Medical Center's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Geisinger Wyoming Valley Medical Center enrolled in Medicare?
Yes. Geisinger Wyoming Valley Medical Center is registered in the Medicare PECOS enrollment system.
When is Geisinger Wyoming Valley Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Geisinger Wyoming Valley Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0863751) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Geisinger Wyoming Valley Medical Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Wyoming Valley Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Geisinger Wyoming Valley Medical Center was last updated on October 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Geisinger Pittston Radiology, A Service Of Gwv · NPI 1104292960
Diagnostic Radiology organization in Pittston, Pennsylvania. Organization record, active in the CMS NPPES registry since August 17, 2015.
## Identity
- **NPI:** 1104292960 (Entity type: Organization)
- **Enumerated:** August 17, 2015
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Geisinger Wyoming Valley Medical Center
- **Organization subpart:** No
- **Authorized official:** Cindy Mull, DIRECTOR CREDENTIALING/ENROLLMENTS
## Practice location
- **Address:** 42 NORTH MAIN ST, Pittston, PA 18640
- **Phone:** (570) 654-0880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Pennsylvania, Hospital) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104292960) · Data from the CMS NPPES public registry.