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INTEGRATED MEDICAL GROUP P C
NPI 1417911819
Surgery in Pottsville, PA

Active since April 13, 2006
48 TUNNEL RD, SUITE 203, POTTSVILLE, PA 17901(570) 622-5455(570) 622-5493 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrated Medical Group P C NPPES

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

INTEGRATED MEDICAL GROUP P C (NPI 1417911819) is a healthcare organization registered as a surgery in Pottsville, Pennsylvania and active in the NPI registry since April 2006. The organization lists Lori Burns, Hr, as its authorized official.

NPPES Registry Identity

NPI1417911819
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameINTEGRATED MEDICAL GROUP P C
Location Address48 TUNNEL RD, SUITE 203Pottsville, PA 17901-3875
Mailing Address82 Tunnel RdPottsville, PA 17901-3869 · (570) 622-5455 · Fax (570) 622-5493
Phone(570) 622-5455
Fax(570) 622-5493
Organization SubpartNo
Authorized OfficialLori BurnsHr · (570) 622-5455
Enumeration DateApril 13, 2006
Last NPPES UpdateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1417911819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
48 TUNNEL RD, Pottsville, PA 17901
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Other Identifiers 1

Medicaid100775174PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Integrated Medical Group P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Integrated Medical Group P C, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Internal Medicine24
Nurse Practitioner20
Family Practice11
Physical Therapist in Private Practice11
Certified Registered Nurse Anesthetist (CRNA)8
Pediatric Medicine8
Hospitalist5
Mental Health Counselor5
15 other specialties31

Nearest to this location (20)

See all 123
Mark Brayford, D.O.
Family Practice
NPI 1417155151
48 TUNNEL RD SUITE 203
Pottsville, PA 17901
(570) 624-4777
✔ PECOS✔ Accepts MedicareSame address
Jared Cicero, DPM
Podiatry
NPI 1942722152
48 TUNNEL RD STE 203
Pottsville, PA 17901
(570) 624-4777
✔ PECOS✔ Accepts MedicareSame address
Jason Phillips, M.D.
Orthopedic Surgery
NPI 1639386303
48 TUNNEL RD SUITE 203
Pottsville, PA 17901
(570) 624-4777
✔ PECOS✔ Accepts MedicareSame address
Pavan Garala, MD
Internal Medicine
NPI 1750885950
82 TUNNEL RD
Pottsville, PA 17901
(570) 622-5455
✔ PECOS✔ Accepts MedicareSame address
Sue Mccormick, CRNP
Nurse Practitioner
NPI 1699361642
82 TUNNEL RD
Pottsville, PA 17901
(570) 622-5455
✔ PECOS✔ Accepts MedicareSame address
Joshua Lehman, FNP-C
Nurse Practitioner
NPI 1447038112
48 TUNNEL RD STE 104
Pottsville, PA 17901
(570) 622-5555
✔ PECOS✔ Accepts Medicare0.2 mi
Amrit Narula, MD
Gastroenterology
NPI 1720050222
48 TUNNEL RD SUITE 104
Pottsville, PA 17901
(570) 622-5555
✔ PECOS✔ Accepts Medicare0.2 mi
Kamla Mishra, MD
Internal Medicine
NPI 1972581924
700 SCHUYLKILL MANOR RD SUITE 5A
Pottsville, PA 17901
(570) 516-9444
✔ PECOS✔ Accepts Medicare0.8 mi
Manish Mishra, M.D
Internal Medicine
NPI 1306089222
700 SCHUYLKILL MANOR RD SUUITE 5A
Pottsville, PA 17901
(570) 516-9444
✔ PECOS✔ Accepts Medicare0.8 mi
Calvin Stoudt, DO
Orthopedic Surgery
NPI 1134232242
700 SCHUYLKILL MANOR RD SUITE 1
Pottsville, PA 17901
(570) 622-5672
✔ PECOS✔ Accepts Medicare0.8 mi
Christianne Bayer, PC
Mental Health Counselor
NPI 1750367769
450 N CLAUDE A LORD BLVD
Pottsville, PA 17901
(570) 622-1025
✔ PECOS✔ Accepts Medicare0.8 mi
Denise Whalen, MA
Mental Health Counselor
NPI 1295736296
450 N CLAUDE A LORD BLVD
Pottsville, PA 17901
(570) 622-1025
✔ PECOS✔ Accepts Medicare0.8 mi
Faran Mansoor, MD
Internal Medicine
NPI 1407471212
106 S CLAUDE A LORD BLVD
Pottsville, PA 17901
(570) 728-2424
✔ PECOS✔ Accepts Medicare1.2 mi
Sharon Melincavage, CRNP
Nurse Practitioner
NPI 1639249295
106 S CLAUDE A LORD BLVD
Pottsville, PA 17901
(570) 622-4209
✔ PECOS1.2 mi
Jennifer Brant
Mental Health Counselor
NPI 1114859378
115 S CENTRE ST STE 101
Pottsville, PA 17901
(570) 622-1025
✔ PECOS✔ Accepts Medicare1.3 mi
Kelly Reno, LCSW
Clinical Social Worker
NPI 1164563698
115 SOUTH CENTRE STREET LOWER LEVEL
Pottsville, PA 17901
(570) 622-1025
✔ PECOS✔ Accepts Medicare1.4 mi
Cianna Corbacio, DPT
Physical Therapist in Private Practice
NPI 1326659889
495 N CLAUDE A LORD BLVD
Pottsville, PA 17901
(570) 516-9858
✔ Accepts Medicare1.6 mi
Gary Cortese, DPM
Podiatry
NPI 1497759336
1626 MOUNT HOPE AVE
Pottsville, PA 17901
(570) 622-2230
✔ PECOS✔ Accepts Medicare2.0 mi
Zarar Bajwa, M.D.
Pediatric Medicine
NPI 1194705715
1851 WEST END AVE
Pottsville, PA 17901
(570) 624-7337
✔ PECOS✔ Accepts Medicare2.3 mi
Cynthia Lubinsky, DO
Family Practice
NPI 1750573812
210 SUNBURY ST
Minersville, PA 17954
(570) 544-9123
✔ PECOS✔ Accepts Medicare4.0 mi
See all 123 clinicians

Source: 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 Integrated Medical Group P C's NPI number?

The NPI number for Integrated Medical Group P C is 1417911819. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is Integrated Medical Group P C located?

Integrated Medical Group P C is located at 48 Tunnel Rd Suite 203, Pottsville, PA 17901. The listed phone number is (570) 622-5455.

What is Integrated Medical Group P C's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Integrated Medical Group P C enrolled in Medicare?

Yes. Integrated Medical Group P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Medical Group P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 23 Medicare specialties reassign their Medicare billing to Integrated Medical Group P C. 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 Internal Medicine (24), Nurse Practitioner (20) and Family Practice (11). Of these, 5 practice at this address and 40 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 Integrated Medical Group P C was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.