JEANETTE TAVERAS (D.O.) – Pediatric Infectious Diseases Physician, NPI 1699152231
Pediatric Infectious Diseases Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,237 PEDIATRIC MEDICINE in PA
Provider Addresses for JEANETTE TAVERAS (D.O.)
1200 S CEDAR CREST BLVD
6TH FLOOR JAINDL
ALLENTOWN, PA 181036202
Phone: (610) 402-7556
Fax: (610) 402-7600
Type: Mailing
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Mailing
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-2000
Type: Location
380 Butterfly Gardens Dr
Columbus, OH 432157508
Phone: (614) 722-2000
Type: Location
PO BOX 13579
READING, PA 196123579
Phone: (484) 628-1324
Type: Mailing
160 E ERIE AVE
PHILADELPHIA, PA 191341011
Phone: (215) 427-5201
Fax: (610) 402-7600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230117001040 | I | Infectious Disease | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Critical Care (Intensivists), Pediatric Medicine | OH | |
| Nephrology, Pediatric Medicine | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| Pulmonary Disease, Pediatric Medicine | OH | |
| - | OH | |
| Critical Care (Intensivists), Pediatric Medicine | OH |
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