ST. LUKE'S INTERNAL MEDICINE BANGOR
NPI 1730403304
Internal Medicine in Bangor, PA
About St. Luke's Internal Medicine Bangor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. LUKE'S INTERNAL MEDICINE BANGOR (NPI 1730403304) is a healthcare organization registered as an internal medicine in Bangor, Pennsylvania and active in the NPI registry since March 2010. The organization lists Dean W. Evans, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Luke's Internal Medicine Bangor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,841Medicare enrollment records show 2,841 clinicians reassign Medicare billing to St. Luke's Internal Medicine Bangor, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 92 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 2,841Source: 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 St. Luke's Physician Group, Inc.'s NPI number?
The NPI number for St. Luke's Physician Group, Inc. is 1730403304. It was assigned to this organization in the NPPES registry on March 25, 2010. The provider is doing business as St. Luke's Internal Medicine Bangor.
Where is St. Luke's Physician Group, Inc. located?
St. Luke's Physician Group, Inc. is located at 125 S 1st St, Bangor, PA 18013. The listed phone number is (610) 588-8282.
What is St. Luke's Physician Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is St. Luke's Physician Group, Inc. enrolled in Medicare?
Yes. St. Luke's Physician Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Luke's Physician Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,841 clinicians in 71 Medicare specialties reassign their Medicare billing to St. Luke's Physician Group, Inc.. 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 (510), Internal Medicine (308) and Family Practice (274). Of these, 1 practice at this address and 92 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 St. Luke's Physician Group, Inc. was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# St. Luke's Internal Medicine Bangor · NPI 1730403304
Internal Medicine organization in Bangor, Pennsylvania. Organization record, active in the CMS NPPES registry since March 25, 2010.
## Identity
- **NPI:** 1730403304 (Entity type: Organization)
- **Enumerated:** March 25, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** St. Luke's Physician Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Dean Evans, PRESIDENT
## Practice location
- **Address:** 125 S 1ST ST, Bangor, PA 18013-2615
- **Phone:** (610) 588-8282 · **Fax:** (610) 588-5761
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,841 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (510), Internal Medicine (308), Family Practice (274); 1 practice at this address and 92 within 10 miles; [full list](https://npiprofile.com/npi/1730403304/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2010
- **Other identifiers:** Medicare PIN 686024 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1730403304) · Data from the CMS NPPES public registry.