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DR. KAREN J LURITO MD
NPI 1245223312
Pediatrics - Pediatric Cardiology in Wilkes Barre, PA

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7996(570) 808-6072 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Aug 11, 2020 (2 updates tracked since 2020).

About Dr. Karen J Lurito Md NPPES

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

DR. KAREN J LURITO MD (NPI 1245223312) is an individual pediatric cardiology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD444577) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1245223312
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. KAREN J LURITOCredential: MD
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 808-7996
Fax(570) 808-6072
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1245223312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in PA · MD444577✔ Licensed in NC · 200200252
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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Other Names 1

Professional Name (2)Dr. Karen Furlonge Lurito Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen J Lurito Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880675651
PECOS Enrollment IDI20120119000468
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Lurito reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.3 mi
Optometrist
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1366492902 (570) 826-7300
Caring Community Health Center
4.1 mi
Federally Qualified Health Center (FQHC)
175 S WILKES BARRE BLVD
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 clinicians in this Medicare group
NPI 1679038293 (570) 829-2621
Guthrie Medical Group, P.C,
23 mi
Family Medicine
5950 SR 6 STE 101
Tunkhannock, PA 18657
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1164471652 (570) 836-4294

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JACOB SHAJI
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300

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 Karen Lurito's NPI number?

The NPI number for Karen Lurito is 1245223312. It was assigned to this individual provider in the NPPES registry on August 24, 2005. The provider is also known as Dr. Karen Furlonge Lurito MD.

Where is Karen Lurito located?

Karen Lurito practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7996.

What is Karen Lurito's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Karen Lurito enrolled in Medicare?

Yes. Karen Lurito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Lurito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Lurito reassigns Medicare benefits to 3 organizations: Geisinger Clinic (Wilkes Barre, PA), Caring Community Health Center (Wilkes Barre, PA) and Guthrie Medical Group, P.C, (Tunkhannock, PA). Each 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 Karen Lurito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Lurito accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Lurito 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 Karen Lurito was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.