SCRANTON HOSPITALIST PHYSICIAN SERVICES LLC – Diagnostic Radiology Physician, NPI 1023317849
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SCRANTON HOSPITALIST PHYSICIAN SERVICES LLC
150 Mundy St
Wilkes-Barre Township, PA 187026804
Phone: (877) 848-1457
Type: Location
575 N River St
Wilkes Barre, PA 187022634
Phone: (877) 848-1457
Fax: (659) 235-6176
Type: Location
468 Northampton St
Edwardsville, PA 187044566
Phone: (877) 848-1457
Type: Location
4000 MERIDIAN BLVD
FRANKLIN, TN 370676325
Phone: (615) 465-7000
Fax: (615) 628-6877
Type: Mailing
746 JEFFERSON AVE
4TH FLOOR
SCRANTON, PA 185101624
Phone: (570) 340-5079
Fax: (570) 340-5893
Type: Location
190 Welles St
Forty Fort, PA 187044968
Phone: (877) 848-1457
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: 2026-01-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| O20110525000205 | O | Clinic/Group Practice | PA | TBD |
| O20250611003334 | O | Clinic/Group Practice | FL | TBD |
| O20250620000673 | O | Clinic/Group Practice | SC | TBD |
| O20250620002832 | O | Clinic/Group Practice | CA | TBD |
| O20250625002959 | O | Clinic/Group Practice | NY | TBD |
| O20250703001872 | O | Clinic/Group Practice | IL | TBD |
| O20250721001930 | O | Clinic/Group Practice | KY | TBD |
| O20250811002164 | O | Clinic/Group Practice | MI | TBD |
| O20250811004136 | O | Clinic/Group Practice | AL | TBD |
| O20250814002506 | O | Clinic/Group Practice | NJ | TBD |
| O20260114003013 | O | Clinic/Group Practice | KS | 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 18702)
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