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COORDINATED CARE OF KINGSTON
NPI 1780709907
Internal Medicine - Endocrinology, Diabetes & Metabolism in Kingston, PA

Active since March 20, 2007
183 MARKET ST, KINGSTON, PA 18704(570) 714-9322(570) 714-8750 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coordinated Care Of Kingston NPPES

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

COORDINATED CARE OF KINGSTON (NPI 1780709907) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Kingston, Pennsylvania and active in the NPI registry since March 2007. The organization lists Herbert Fellerman, President, as its authorized official.

NPPES Registry Identity

NPI1780709907
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameENDOCRINE SPECIALTY GROUP INC.
Location Address183 MARKET STKingston, PA 18704-5444
Mailing Address644 Gibson AveKingston, PA 18704-5320 · (570) 283-4806 · Fax (570) 283-3044
Phone(570) 714-9322
Fax(570) 714-8750
Organization SubpartNo
Authorized OfficialHerbert FellermanPresident · (570) 714-9322
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780709907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD010836E
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
183 MARKET ST, Kingston, PA 18704
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Other Names 1

Doing Business AsCoordinated Care Of Kingston

Other Identifiers 1

Other1376648444PW · Individual Npi Number

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coordinated Care Of Kingston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20041213000129Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coordinated Care Of Kingston, which bills Medicare for the services this clinician delivers.

Clinician (1)

Herbert Fellerman, M.D.
Endocrinology
NPI 1376648444
183 MARKET ST
Kingston, PA 18704
(570) 714-9322
✔ PECOS✔ Accepts MedicareSame address

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 Endocrine Specialty Group Inc.'s NPI number?

The NPI number for Endocrine Specialty Group Inc. is 1780709907. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Coordinated Care Of Kingston.

Where is Endocrine Specialty Group Inc. located?

Endocrine Specialty Group Inc. is located at 183 Market St, Kingston, PA 18704. The listed phone number is (570) 714-9322.

What is Endocrine Specialty Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Endocrine Specialty Group Inc. enrolled in Medicare?

Yes. Endocrine Specialty Group Inc. is registered in the Medicare PECOS enrollment system.

When is Endocrine Specialty Group Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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.

How many clinicians bill Medicare through Endocrine Specialty Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Endocrine Specialty 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Endocrine Specialty Group Inc. was last updated on August 22, 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.