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ST. LUKE'S ASHLAND FAMILY PRACTICE
NPI 1134487119
Family Medicine in Ashland, PA

Active since April 27, 2012CLIA 39D1062501 · Waiver
530 CENTRE ST, ASHLAND, PA 17921(570) 889-3103(866) 230-8090 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2018, Dec 21, 2017 (2 updates tracked since 2017).

About St. Luke's Ashland Family Practice NPPES

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

ST. LUKE'S ASHLAND FAMILY PRACTICE (NPI 1134487119) is a healthcare organization registered as a family medicine in Ashland, Pennsylvania and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Dean W Evans, President, as its authorized official.

NPPES Registry Identity

NPI1134487119
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST LUKE'S PHYSICIAN GROUP INC
Location Address530 CENTRE STAshland, PA 17921-1330
Mailing Address530 Centre StAshland, PA 17921-1330 · (570) 889-3103 · Fax (866) 230-8090
Phone(570) 889-3103
Fax(866) 230-8090
Organization SubpartNo
Authorized OfficialDean W EvansPresident · (484) 526-4991
Enumeration DateApril 27, 2012
Last NPPES UpdateFebruary 7, 20182 updates tracked since enumeration
✔ NPI 1134487119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
530 CENTRE ST, Ashland, PA 17921
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Luke's Ashland Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Luke's Ashland Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,841

Medicare enrollment records show 2,841 clinicians reassign Medicare billing to St. Luke's Ashland Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 71

Nurse Practitioner510
Internal Medicine308
Family Practice274
Emergency Medicine271
Obstetrics/Gynecology124
Psychiatry117
General Surgery95
Cardiovascular Disease (Cardiology)74
63 other specialties1,068

Nearest to this location (20)

See all 2,841
Rebekah Kuzio, CRNP
Nurse Practitioner
NPI 1851181135
530 CENTRE ST
Ashland, PA 17921
(570) 645-1670
✔ PECOS✔ Accepts MedicareSame address
Anne Cadau, M.D.
Family Practice
NPI 1578520607
530 W CENTER ST
Ashland, PA 17921
(570) 645-1670
✔ PECOS✔ Accepts MedicareSame address
Kristin O'donnell, D.N.P, C.R.N.P.
Nurse Practitioner
NPI 1104094291
530 CENTRE ST
Ashland, PA 17921
(570) 645-1670
✔ PECOS✔ Accepts MedicareSame address
Gregory Dobash, MD
Family Practice
NPI 1639110091
411 SHENANDOAH RD
Ringtown, PA 17967
(570) 889-3103
✔ PECOS✔ Accepts Medicare7.3 mi
Michaela Bavaria, DO
Family Practice
NPI 1023638442
2650 WOODGLEN RD
Pottsville, PA 17901
(272) 639-5755
✔ PECOS✔ Accepts Medicare9.2 mi
Kristina Thornburg, D.O.
General Surgery
NPI 1033351069
2650 WOODGLEN RD
Pottsville, PA 17901
(866) 785-8537
✔ PECOS✔ Accepts Medicare9.2 mi
Alexander Morris
Nurse Practitioner
NPI 1326502774
2650 WOODGLEN RD
Pottsville, PA 17901
(272) 639-5755
✔ PECOS✔ Accepts Medicare9.2 mi
Heather Smith, CRNP
Nurse Practitioner
NPI 1053702217
48 TUNNEL RD STE 101
Pottsville, PA 17901
(570) 622-2245
✔ PECOS✔ Accepts Medicare9.8 mi
Rehab Tabchi, DO
Family Practice
NPI 1285815068
529 TERRY REILEY WAY
Pottsville, PA 17901
(570) 624-4444
✔ PECOS✔ Accepts Medicare9.8 mi
Lauren Bachman, CRNP
Nurse Practitioner
NPI 1902312770
700 E NORWEGIAN ST FL 3
Pottsville, PA 17901
(570) 621-4322
✔ PECOS✔ Accepts Medicare10 mi
Bolanle Dada, M.D.
Internal Medicine
NPI 1629099288
700 E NORWEGIAN ST
Pottsville, PA 17901
(610) 261-0270
✔ PECOS✔ Accepts Medicare10 mi
Stephen Olex, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1013114461
106 S CLAUDE A LORD BLVD
Pottsville, PA 17901
(570) 728-2424
✔ PECOS10 mi
Syed Ibrahim, MD
Psychiatry
NPI 1447346127
420 S JACKSON ST
Pottsville, PA 17901
(570) 621-5500
✔ PECOS✔ Accepts Medicare10 mi
Glenn Freed, DO
Gastroenterology
NPI 1407841067
100 SCHUYLKILL MEDICAL PLZ STE 101
Pottsville, PA 17901
(570) 366-4606
✔ PECOS✔ Accepts Medicare10 mi
Daniel Cohen, M.D.
Sports Medicine
NPI 1740638931
1165 CENTRE TURPIKE
Orwigsburg, PA 17961
(272) 639-5130
✔ PECOS✔ Accepts Medicare15 mi
Calogero Dimaggio, DO
Vascular Surgery
NPI 1801929096
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
(610) 868-1100
✔ PECOS✔ Accepts Medicare15 mi
Alex Mercado, DO
Emergency Medicine
NPI 1841785524
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
(272) 639-1100
✔ PECOS15 mi
Benjamin Shore, M.D.
General Surgery
NPI 1902339013
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
(484) 658-5758
✔ PECOS✔ Accepts Medicare15 mi
Robert Harkins, M.D.
Family Practice
NPI 1689645749
209 E MARKET ST
Orwigsburg, PA 17961
(570) 366-3885
✔ PECOS✔ Accepts Medicare15 mi
Waqas Ahmed, MD
Cardiovascular Disease (Cardiology)
NPI 1144568759
1165 CENTRE TPKE
Orwigsburg, PA 17961
(484) 526-7800
✔ PECOS✔ Accepts Medicare16 mi
See all 2,841 clinicians

Source: 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 39D1062501

St Luke's Ashland Family Practice · Ashland, PA
Active · expires Jul 8, 2028
CLIA Number39D1062501
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorDr. Anne P. Cadau
Laboratory Phone(570) 645-1670
Laboratory LocationSt Luke's Ashland Family Practice530 Centre Street, Ashland, PA 17921
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 St Luke's Physician Group Inc's NPI number?

The NPI number for St Luke's Physician Group Inc is 1134487119. It was assigned to this organization in the NPPES registry on April 27, 2012. The provider is doing business as St. Luke's Ashland Family Practice.

Where is St Luke's Physician Group Inc located?

St Luke's Physician Group Inc is located at 530 Centre St, Ashland, PA 17921. The listed phone number is (570) 889-3103.

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 9 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 39D1062501) is associated with this NPI, valid through July 8, 2028. 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 February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.