INTERNAL MEDICINE OF BERWICK PC INC
NPI 1265474670
Internal Medicine in Berwick, PA

Q: What is Internal Medicine Of Berwick PC Inc's NPI number?

The NPI number for Internal Medicine Of Berwick PC Inc is 1265474670. It was assigned to this organization in the NPPES registry on June 11, 2006.

Q: What is Internal Medicine Of Berwick PC Inc's specialty?

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

Active since June 11, 2006CLIA 39D0975175 · Waiver

751 E 16TH ST, SUITE300, BERWICK, PA 18603(570) 752-5056 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Internal Medicine Of Berwick Pc Inc NPPES

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

INTERNAL MEDICINE OF BERWICK PC INC (NPI 1265474670) is a healthcare organization registered as an internal medicine in Berwick, Pennsylvania and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Pavel Pribula, Owner, as its authorized official.

NPPES Registry Identity

NPI1265474670

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameINTERNAL MEDICINE OF BERWICK PC INC

Location Address751 E 16TH ST, SUITE300Berwick, PA 18603-2321

Mailing Address751 E 16th St, Suite300Berwick, PA 18603-2321 · (570) 752-5056

Phone(570) 752-5056

Organization SubpartNo

Authorized OfficialPavel PribulaOwner · (570) 752-5056

Enumeration DateJune 11, 2006

Last NPPES UpdateAugust 12, 2013

✔ NPI 1265474670 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 · MD067594L

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.

751 E 16TH ST, Berwick, PA 18603

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Other Identifiers 8

Medicaid0075190570002PA

Medicare UPING91545PA

Other1348169PA · Highmark Blue Shield

Medicare PIN077794PA

Other010093500PA · Black Lung

Other02305400PA · Capital Blue Cross

Other1533376PA · Gateway

Other221084PA · First Priority Health

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Of Berwick Pc Inc 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.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20040525000865Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Internal Medicine Of Berwick PC Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pavel Pribula, M.D.

Internal Medicine

NPI 1043210628

751 E 16TH ST SUITE 300
Berwick, PA 18603

(570) 752-5056

✔ PECOS✔ Accepts Medicare0.1 mi

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 39D0975175

Internal Medicine Of Berwick PC Inc · Berwick, PA

Active · expires Jun 28, 2028

CLIA Number39D0975175

Laboratory TypePhysician Office

Certificate Effective DateJune 29, 2026

Certificate Expiration DateJune 28, 2028

Laboratory DirectorPavel Pribula MD

Laboratory Phone(570) 752-5056

Laboratory LocationInternal Medicine Of Berwick PC Inc751 East 16th Street Suite 300, Berwick, PA 18603

CLIA data matches this NPI record on: Address Name Phone

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 Internal Medicine Of Berwick PC Inc's NPI number?

The NPI number for Internal Medicine Of Berwick PC Inc is 1265474670. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Internal Medicine Of Berwick PC Inc located?

Internal Medicine Of Berwick PC Inc is located at 751 E 16th St Suite300, Berwick, PA 18603. The listed phone number is (570) 752-5056.

What is Internal Medicine Of Berwick PC Inc's specialty?

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

Is Internal Medicine Of Berwick PC Inc enrolled in Medicare?

Yes. Internal Medicine Of Berwick PC Inc is registered in the Medicare PECOS enrollment system.

When is Internal Medicine Of Berwick PC Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) 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.

How many clinicians bill Medicare through Internal Medicine Of Berwick PC Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine Of Berwick PC 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Internal Medicine Of Berwick PC Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0975175) is associated with this NPI, valid through June 28, 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 Internal Medicine Of Berwick PC Inc was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.