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JOHN TOMASI P.A.-C.
NPI 1558379032
Physician Assistant - Medical in West Reading, PA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
301 S 7TH AVE, SUITE 2020, WEST READING, PA 19611(610) 375-6565(610) 375-2065 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About John Tomasi P.a.-c. NPPES

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

JOHN TOMASI P.A.-C. (NPI 1558379032) is an individual medical provider in West Reading, Pennsylvania, licensed in Pennsylvania (MA053786) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of University Of Nebraska College Of Medicine (2003).

NPPES Registry Identity

NPI1558379032
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN TOMASICredential: P.A.-C.
Location Address301 S 7TH AVE, SUITE 2020West Reading, PA 19611-1410
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 375-6565
Fax(610) 375-2065
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003
Enumeration DateAugust 3, 2006
Last NPPES UpdateJanuary 5, 2016
✔ NPI 1558379032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA053786
301 S 7TH AVE, West Reading, PA 19611
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP50943OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Tomasi P.a.-c. 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 ID8820077761
PECOS Enrollment IDI20110411000677
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services24 patients
Insertion of heart rhythm monitor under skin 33285
The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

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.

ANKUSH LAHOTI M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565
RANDALL S. WINN M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8929
MR. TIMOTHY W MYERS PT
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
BILAL SAULAT M.D.,
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Berks County (484) 628-4656
GAIL A. LUECKE M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8108
DR. JOHN D CASEY MD
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
LEONARD J MARCHINSKI MD PC-PHYSICAL THERAPY
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Berks County (610) 375-6147
EARL J HOPE M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565

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 John Tomasi's NPI number?

The NPI number for John Tomasi is 1558379032. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is John Tomasi located?

John Tomasi practices at 301 S 7th Ave Suite 2020, West Reading, PA 19611. The listed phone number is (610) 375-6565.

What is John Tomasi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Tomasi enrolled in Medicare?

Yes. John Tomasi 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.

What insurance does John Tomasi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John Tomasi 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.

Is John Tomasi affiliated with any hospitals?

According to CMS data, John Tomasi is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for John Tomasi was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.