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GEISINGER WYOMING VALLEY
NPI 1780253336
Internal Medicine in Wilkes Barre, PA

Active since June 18, 2021
660 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-6444 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Geisinger Wyoming Valley NPPES

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

GEISINGER WYOMING VALLEY (NPI 1780253336) is a healthcare organization registered as an internal medicine in Wilkes Barre, Pennsylvania and active in the NPI registry since June 2021. The organization lists Cindy L Mull, Director, as its authorized official.

NPPES Registry Identity

NPI1780253336
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGEISINGER WYOMING VALLEY
Location Address660 BALTIMORE DRWilkes Barre, PA 18702-7962
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 808-6444
Organization SubpartNo
Authorized OfficialCindy L MullDirector · (570) 271-6603
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
✔ NPI 1780253336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
660 BALTIMORE DR, Wilkes Barre, PA 18702
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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 revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040901000618Part A · HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SMITA S. NIKAM M.D.
Internal Medicine
660 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-6444
NICHOLAS JAMES FIALA
Internal Medicine
660 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-6444
GEIEINGER CLINIC
Internal Medicine
660 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-6444
DR. ROMAN W MATLAGA DO
Internal Medicine
660 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-6444

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 Geisinger Wyoming Valley's NPI number?

The NPI number for Geisinger Wyoming Valley is 1780253336. It was assigned to this organization in the NPPES registry on June 18, 2021.

Where is Geisinger Wyoming Valley located?

Geisinger Wyoming Valley is located at 660 Baltimore Dr, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6444.

What is Geisinger Wyoming Valley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Geisinger Wyoming Valley enrolled in Medicare?

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

When is Geisinger Wyoming Valley's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Geisinger Wyoming Valley was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.