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DR. KELLY TAYLOR PERETICH M.D. NPI 1689973257


NPI Information

NPI: 1689973257
Provider Name: DR. KELLY TAYLOR PERETICH, M.D.
Classification: Anesthesiology - 207LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
801 OSTRUM ST
BETHLEHEM, PA
ZIP 18015
Phone: (610) 954-5810
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DR. Kelly Taylor Peretich, M.D. is a critical care medicine anesthesiology in Bethlehem, PA with 13 years of experience. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Kelly Taylor Peretich, M.D. NPI is 1689973257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DRAKE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

801 OSTRUM ST
BETHLEHEM, PA
ZIP 18015-000
Phone: (610) 954-5810
Fax: (610) 954-5480

The NPI 1689973257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for procedure on esophagus, stomach, small bowel, and/or large bowel using an endoscope (HCPCS:00813)

The enumeration date for this NPI number is 3/22/2011 and was last updated on 10/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyMD457241PENNSYLVANIANo
2207L00000XAnesthesiology25MA09947900NEW JERSEYNo
3207LC0200XAnesthesiologyCritical Care Medicine25MA09947900NEW JERSEYNo
4207LC0200XAnesthesiologyCritical Care MedicineMD457241PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.