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PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1609347152
Pediatrics in West Reading, PA

Active since December 10, 2018
655 WALNUT ST, WEST READING, PA 19611(610) 372-9222(610) 372-0232 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Feb 12, 2022, Dec 10, 2018 (3 updates tracked since 2018).

About Penn State Health Medical Group, Llc NPPES

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

PENN STATE HEALTH MEDICAL GROUP, LLC (NPI 1609347152) is a healthcare organization registered as a pediatrics in West Reading, Pennsylvania and active in the NPI registry since December 2018. The organization lists Tracy L Moyer-swinko, Vp, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1609347152
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC
Location Address655 WALNUT STWest Reading, PA 19611-1242
Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859 · Fax (717) 312-3104
Phone(610) 372-9222
Fax(610) 372-0232
Organization SubpartYesParent: Penn State Health
Authorized OfficialTracy L Moyer-swinkoVp, Chief Financial Officer · (717) 531-8477
Enumeration DateDecember 10, 2018
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1609347152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
655 WALNUT ST, West Reading, PA 19611
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penn State Health Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

992

Medicare enrollment records show 992 clinicians reassign Medicare billing to Penn State Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 114 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner213
Diagnostic Radiology93
Internal Medicine90
Family Practice77
Certified Registered Nurse Anesthetist (CRNA)74
Hospitalist55
Emergency Medicine53
Neurology43
34 other specialties294

Nearest to this location (20)

See all 992
Abimbola Ajayi, M.D
Pediatric Medicine
NPI 1407889041
655 WALNUT ST
West Reading, PA 19611
(610) 372-9222
✔ PECOSSame address
Vaishnavi Harding, D.O.
Pediatric Medicine
NPI 1598145104
655 WALNUT ST
West Reading, PA 19611
(484) 345-3038
✔ PECOSSame address
Shilu Joshi, M.D.
Pediatric Medicine
NPI 1811244254
655 WALNUT ST
West Reading, PA 19611
(610) 372-9222
✔ PECOSSame address
Anna Karasik, M.D.
Pediatric Medicine
NPI 1275762122
655 WALNUT ST
West Reading, PA 19611
(610) 972-9222
✔ PECOSSame address
Abdullah Sakarcan, MD
Pediatric Medicine
NPI 1376573683
655 WALNUT ST
West Reading, PA 19611
(484) 345-3038
✔ PECOSSame address
Dronacharya Lamichhane, MD
Neurology
NPI 1730474453
301 S 7TH AVE STE 210
West Reading, PA 19611
(484) 628-4656
✔ PECOS✔ Accepts Medicare0.5 mi
Stephanie Miller, CRNP
Nurse Practitioner
NPI 1942686498
301 S 7TH AVE SUITE 2020
West Reading, PA 19611
(610) 375-6565
✔ PECOS✔ Accepts Medicare0.5 mi
Roxana Van Ostran, C.R.N.P.
Nurse Practitioner
NPI 1205989266
301 S. SEVENTH AVENUE SUITE 210
West Reading, PA 19611
(484) 628-4656
✔ PECOS✔ Accepts Medicare0.5 mi
Monica Brunk
Emergency Medicine
NPI 1578241550
420 S 5TH AVE
West Reading, PA 19611
(484) 628-8000
✔ PECOS✔ Accepts Medicare0.5 mi
Mark Mcnaughton, D.O.
Emergency Medicine
NPI 1245770684
420 S 5TH AVE
West Reading, PA 19611
(484) 628-6255
✔ PECOS✔ Accepts Medicare0.5 mi
David O Rourke, MD
Family Practice
NPI 1790739639
560 VAN REED RD SUITE 306
Wyomissing, PA 19610
(610) 376-7878
✔ PECOS✔ Accepts Medicare0.5 mi
John Dougherty, M.D.
Obstetrics/Gynecology
NPI 1902870371
420 S 5TH AVE
West Reading, PA 19611
(484) 628-8827
✔ PECOS✔ Accepts Medicare0.6 mi
Kendall Higgins
Emergency Medicine
NPI 1891427464
420 S 5TH AVE
West Reading, PA 19611
(484) 628-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Grant Nugent, MD, PHARMD
Emergency Medicine
NPI 1548779390
420 S 5TH AVE
West Reading, PA 19611
(484) 628-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Laura Hunter, M.D.
Obstetrics/Gynecology
NPI 1861464604
1040 REED AVE
Wyomissing, PA 19610
(610) 898-7040
✔ PECOS✔ Accepts Medicare0.6 mi
Nader Rahmanian, MD
Internal Medicine
NPI 1124102124
1416 PENN AVENUE
Wyomissing, PA 19610
(610) 376-3936
✔ PECOS✔ Accepts Medicare1.1 mi
Laura Guerin, DPM
Podiatry
NPI 1356375190
1981 STATE HILL RD
Wyomissing, PA 19610
(610) 670-2277
✔ PECOS✔ Accepts Medicare1.3 mi
Lauren Albu
Certified Nurse Midwife (CNM)
NPI 1447736442
145 N 6TH ST FL 2
Reading, PA 19601
(610) 208-4543
✔ PECOS1.3 mi
Niladri Das, MD
Family Practice
NPI 1275731689
145 N 6TH ST FL 2
Reading, PA 19601
(610) 208-4559
✔ PECOS✔ Accepts Medicare1.3 mi
Kelly Rexford Hudson, CPNP
Nurse Practitioner
NPI 1598786618
145 N 6TH ST 2ND FL
Reading, PA 19601
(610) 378-2440
✔ PECOS1.3 mi
See all 992 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 Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1609347152. It was assigned to this organization in the NPPES registry on December 10, 2018.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 655 Walnut St, West Reading, PA 19611. The listed phone number is (610) 372-9222.

What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Penn State Health Medical Group, LLC enrolled in Medicare?

Yes. Penn State Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penn State Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 992 clinicians in 42 Medicare specialties reassign their Medicare billing to Penn State Health Medical Group, LLC. 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 Nurse Practitioner (213), Diagnostic Radiology (93) and Internal Medicine (90). Of these, 5 practice at this address and 114 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 Penn State Health Medical Group, LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.