ST LUKE'S PHYSICIAN GROUP INC
NPI 1528132107
Anesthesiology in Coaldale, PA

NPI Status: Active since November 17, 2006

Contact Information

360 W RUDDLE ST
COALDALE, PA
ZIP 18218
Phone: (570) 645-8121
Fax: (570) 645-8875

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  • Organization
  • Anesthesiology
  • CLIA Number: 39D0657500
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About ST LUKE'S PHYSICIAN GROUP INC

This page provides the complete NPI Profile along with additional information for St Luke's Physician Group Inc, an anesthesiologist established in Coaldale, Pennsylvania operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1528132107 assigned on November 2006. The practitioner's primary taxonomy code is 207L00000X with license number MD034814L (PA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Smita Satish Mody Md (Anesthesiologist)

NPI
1528132107
Provider Name
ST LUKE'S PHYSICIAN GROUP INC
Entity Type
Organization
Location Address
360 W RUDDLE ST COALDALE, PA 18218
Location Phone
(570) 645-8121
Location Fax
(570) 645-8875
Mailing Address
360 W RUDDLE ST COALDALE, PA 18218
Mailing Phone
(570) 645-8121
Mailing Fax
(570) 645-8875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2006
Last Update Date
12-18-2007
Code Navigator

An anesthesiologist like St Luke's Physician Group Inc manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD034814L
License State
PA
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

MD034814L (PA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SMITA SATISH MODY MD

Authorized Official Title
ANESTHESIOLOGIST
Authorized Official Phone
(570) 645-8121

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
051228MEDICARE ID-TYPE UNSPECIFIED (04)PA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D0657500
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. KIMBERLY A. JARAMILLO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St Luke's Physician Group Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528132107, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 2 + 3 + 4 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1528132107.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medical Technician, Paramedic
360 W RUDDLE ST
COALDALE, PA 18218
Anesthesiology
360 W RUDDLE ST
COALDALE, PA 18218
Anesthesiology (Pain Medicine)
360 W RUDDLE ST
COALDALE, PA 18218
Skilled Nursing Facility
360 W RUDDLE ST
COALDALE, PA 18218
Emergency Medicine
360 W RUDDLE ST
COALDALE, PA 18218
Physician Assistant
360 W RUDDLE ST
COALDALE, PA 18218
Physician Assistant
360 W RUDDLE ST
COALDALE, PA 18218
Internal Medicine
360 W RUDDLE ST
COALDALE, PA 18218
Physician Assistant
360 W RUDDLE ST
COALDALE, PA 18218
Internal Medicine
360 W RUDDLE ST, SUITE 800
COALDALE, PA 18218
Physician Assistant (Medical)
360 W RUDDLE ST
COALDALE, PA 18218
Emergency Medicine
360 W RUDDLE ST
COALDALE, PA 18218
General Acute Care Hospital
360 W RUDDLE ST
COALDALE, PA 18218
Dietitian, Registered
360 W RUDDLE ST
COALDALE, PA 18218
Dietitian, Registered
360 W RUDDLE ST
COALDALE, PA 18218
Physician Assistant
360 W RUDDLE ST
COALDALE, PA 18218
Occupational Therapist
360 W RUDDLE ST
COALDALE, PA 18218
Occupational Therapist
360 W RUDDLE ST
COALDALE, PA 18218
Internal Medicine
360 W RUDDLE ST
COALDALE, PA 18218
Clinic/Center (Ambulatory Surgical)
360 W RUDDLE ST
COALDALE, PA 18218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528132107, enumerated as an "organization" on November 17, 2006.

The provider is located at 360 W RUDDLE ST COALDALE, PA 18218 and the phone number is (570) 645-8121.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.