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NPI · 1972502573 · NPPES-sourced

Dr. James Restrepo M.D.

ActiveOtolaryngology Physician
NPI Number
1972502573
Type 1 · Individual
Taxonomy Code
207Y00000X
Contact
(610) 374-5599
License PA · MD030575E
Last Updated
Enumerated
Primary practice addressPA · 19610-1268
985 Berkshire Blvd, Ste 101Wyomissing, PA 19610-1268
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About this NPIWhat this record shows.

NPI 1972502573 is registered to Dr. James Restrepo M.D., a Otolaryngology Physician practising at 985 Berkshire Blvd, Ste 101 in Wyomissing, Pennsylvania. Otolaryngology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. James Restrepo M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 065201PA· Issued by HIGHMARK BLUE SHIELD
  • 1142932001PA· Issued by CIGNA
  • 30717APA· Issued by AMERIHEALTH MERCY
  • 01487601PA· Issued by CAPITAL BLUE CROSS
  • 0075773000PA· Issued by INDEPENDENCE BLUE CROSS
  • 55355PA· Issued by AETNA
  • 0065201PA· Issued by KEYSTONE HP CENTRAL

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. James Restrepo M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. James Restrepo M.D. directly at (610) 374-5599.

Frequently asked

Yes. NPI 1972502573 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Otolaryngology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (610) 374-5599.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. James Restrepo M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Y00000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Otolaryngology Physician providers in Pennsylvania.

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