WYOMING VALLEY AIDS COUNCIL
NPI 1588080824
Internal Medicine - Infectious Disease in Wilkes Barre, PA

Q: What is Wyoming Valley Aids Council's NPI number?

The NPI number for Wyoming Valley Aids Council is 1588080824. It was assigned to this organization in the NPPES registry on March 11, 2014.

Q: What is Wyoming Valley Aids Council's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since March 11, 2014CLIA 39D2076400 · Waiver

330 BOWMAN ST, UNIT 1, WILKES BARRE, PA 18702(570) 823-5808(570) 970-2717 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2024, Jul 24, 2019 (2 updates tracked since 2019).

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About Wyoming Valley Aids Council NPPES

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

WYOMING VALLEY AIDS COUNCIL (NPI 1588080824) is a healthcare organization registered as an infectious disease in Wilkes Barre, Pennsylvania and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 16, 2028, maintains 4 additional practice locations, and lists Kenneth Zula, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588080824

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameWYOMING VALLEY AIDS COUNCIL

Location Address330 BOWMAN ST, UNIT 1Wilkes Barre, PA 18702-5448

Mailing Address330 Bowman St, Unit 1Wilkes Barre, PA 18702-5448 · (570) 823-5808 · Fax (570) 970-2717

Phone(570) 823-5808

Fax(570) 970-2717

Organization SubpartNo

Authorized OfficialKenneth ZulaExecutive Director · (570) 823-5808

Enumeration DateMarch 11, 2014

Last NPPES UpdateMay 17, 20242 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1588080824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedCase ManagementTaxonomy 251B00000X

330 BOWMAN ST, Wilkes Barre, PA 18702

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Secondary Practice Locations 4

Location 1426 Airport Rd Ste 130Hazle Township, PA 18202-3361 · Phone (570) 459-6030 · Fax (570) 459-6206

Location 2250 Old River Rd Ste CWilkes Barre, PA 18702-1611 · Phone (570) 852-8575 · Fax (570) 852-5885

Location 3201 Franklin Ave Ste 3Scranton, PA 18503-1947 · Phone (570) 800-7465 · Fax (570) 800-7474

Location 41 Kim Ave Ste 3Tunkhannock, PA 18657-9101 · Phone (570) 996-6555 · Fax (570) 966-6557

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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyoming Valley Aids Council is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wyoming Valley Aids Council, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Emma Fitzgibbon, CRNP, FNP-C

Nurse Practitioner

NPI 1487114401

250 OLD RIVER RD STE C
Wilkes Barre, PA 18702

(610) 984-3592

✔ PECOS✔ Accepts Medicare2.6 mi

Shubhra Shetty, M.D.

Internal Medicine

NPI 1649264532

201 FRANKLIN AVE STE 3
Scranton, PA 18503

(570) 800-7465

✔ PECOS✔ Accepts Medicare15 mi

Militza Suarez-Favetta, M.D.

Infectious Disease

NPI 1477652196

1 KIM AVE STE 2
Tunkhannock, PA 18657

(570) 996-6555

✔ PECOS✔ Accepts Medicare24 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 39D2076400

Wyoming Valley Aids Council, Inc · Wilkes Barre, PA

Active · expires Apr 16, 2028

CLIA Number39D2076400

Laboratory TypeAids Service Org

Certificate Effective DateApril 17, 2026

Certificate Expiration DateApril 16, 2028

Laboratory DirectorDr. Militza E. Suarez-Favetta

Laboratory Phone(570) 823-5808

Laboratory LocationWyoming Valley Aids Council, Inc330 Bowman Street Unit 1, Wilkes Barre, PA 18702

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 Wyoming Valley Aids Council's NPI number?

The NPI number for Wyoming Valley Aids Council is 1588080824. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Wyoming Valley Aids Council located?

Wyoming Valley Aids Council is located at 330 Bowman St Unit 1, Wilkes Barre, PA 18702. The listed phone number is (570) 823-5808.

What is Wyoming Valley Aids Council's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Wyoming Valley Aids Council enrolled in Medicare?

Yes. Wyoming Valley Aids Council is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wyoming Valley Aids Council?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wyoming Valley Aids Council, in Infectious Disease, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wyoming Valley Aids Council hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2076400) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wyoming Valley Aids Council accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Wyoming Valley Aids Council 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 Wyoming Valley Aids Council was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.