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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RACHEL DELA CRUZ CANSECO-BERBANO MD
NPI 1174598965
Internal Medicine in Kingston, PA

Active since February 23, 2006PECOS Enrolled
445 WYOMING AVENUE, KINGSTON, PA 18704(570) 718-0505(570) 718-0522 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachel Dela Cruz Canseco-berbano Md NPPES

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

RACHEL DELA CRUZ CANSECO-BERBANO MD (NPI 1174598965) is an individual internal medicine provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD 418104) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174598965
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRACHEL DELA CRUZ CANSECO-BERBANOCredential: MD
Location Address445 WYOMING AVENUEKingston, PA 18704
Mailing Address445 Wyoming AvenueKingston, PA 18704 · (570) 718-0505 · Fax (570) 718-0522
Phone(570) 718-0505
Fax(570) 718-0522
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1174598965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD 418104
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
445 WYOMING AVENUE, Kingston, PA 18704
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Other Identifiers 1

Medicaid1009424140001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Dela Cruz Canseco-berbano Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MISS AUNISHA DESAI PA-C
Physician Assistant (Medical)
445 WYOMING AVENUE
KINGSTON, PA 18704
Luzerne County (570) 714-3333
RECAREDO T BERBANO PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
445 WYOMING AVENUE
KINGSTON, PA 18704
Luzerne County (570) 718-0520

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 Rachel Canseco-berbano's NPI number?

The NPI number for Rachel Canseco-berbano is 1174598965. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Rachel Canseco-berbano located?

Rachel Canseco-berbano practices at 445 Wyoming Avenue, Kingston, PA 18704. The listed phone number is (570) 718-0505.

What is Rachel Canseco-berbano's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rachel Canseco-berbano enrolled in Medicare?

Yes. Rachel Canseco-berbano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rachel Canseco-berbano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.