ST LUKE'S PHYSICIAN GROUP INC
NPI 1205592474
Family Medicine in Tobyhanna, PA
About St Luke's Physician Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LUKE'S PHYSICIAN GROUP INC (NPI 1205592474), doing business as St. Luke's Family Medicine Tobyhanna, is a healthcare organization registered as a family medicine in Tobyhanna, Pennsylvania and active in the NPI registry since November 2021. The organization lists Sue Chiavaroli, Enrollment Mgr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
St Luke's Physician Group Inc 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 St Luke's Physician Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice 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.
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 1205592474. It was assigned to this organization in the NPPES registry on November 12, 2021. The provider is doing business as St. Luke's Family Medicine Tobyhanna.
Where is St Luke's Physician Group Inc located?
St Luke's Physician Group Inc is located at 354 Memorial Blvd, Tobyhanna, PA 18466. The listed phone number is (272) 639-5461.
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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for St Luke's Physician Group Inc was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# St Luke's Physician Group Inc · NPI 1205592474
Family Medicine organization in Tobyhanna, Pennsylvania. Organization record, active in the CMS NPPES registry since November 12, 2021.
## Identity
- **NPI:** 1205592474 (Entity type: Organization)
- **Enumerated:** November 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** St. Luke's Family Medicine Tobyhanna (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sue Chiavaroli, ENROLLMENT MGR
## Practice location
- **Address:** 354 MEMORIAL BLVD, Tobyhanna, PA 18466-7786
- **Phone:** (272) 639-5461
## 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); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1205592474/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205592474) · Data from the CMS NPPES public registry.