STEPHANIE MICHALIK DO
NPI 1730703935
Obstetrics & Gynecology in West Reading, PA
About Stephanie Michalik Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MICHALIK DO (NPI 1730703935) is an individual obstetrics & gynecology provider in West Reading, Pennsylvania, licensed in Pennsylvania (OT019965) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Michalik Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Michalik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Stephanie Michalik's NPI number?
The NPI number for Stephanie Michalik is 1730703935. It was assigned to this individual provider in the NPPES registry on June 3, 2020.
Where is Stephanie Michalik located?
Stephanie Michalik practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-8614.
What is Stephanie Michalik's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Stephanie Michalik enrolled in Medicare?
Yes. Stephanie Michalik 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.
Which organization bills Medicare for Stephanie Michalik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Michalik reassigns Medicare benefits to Tower Health Medical Group (West Reading, PA). The 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 Stephanie Michalik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Michalik accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stephanie Michalik 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 Stephanie Michalik affiliated with any hospitals?
According to CMS data, Stephanie Michalik is affiliated with Reading Hospital.
When was this NPI record last updated?
The NPPES record for Stephanie Michalik was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Stephanie Michalik, DO · NPI 1730703935
Obstetrics & Gynecology physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 3, 2020.
## Identity
- **NPI:** 1730703935 (Entity type: Individual)
- **Enumerated:** June 3, 2020
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** OT019965 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-8614
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tower Health Medical Group (NPI 1063589273, West Reading, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730703935) · Data from the CMS NPPES public registry.