Lackawanna Medical Group PC
NPI 1770650962 · Internal Medicine Physician · Scranton, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lackawanna Medical Group PC is a Internal Medicine Physician organization in Scranton, PA (NPI 1770650962).
Provider details
- NPI number
- 1770650962
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Grad, Business Manager(570) 348-1130
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Nuclear Cardiology Physician207UN0901X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2016-03-03
Frequently asked questions
- What is Lackawanna Medical Group PC's NPI number?
- Lackawanna Medical Group PC's National Provider Identifier (NPI) is 1770650962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lackawanna Medical Group PC?
- Lackawanna Medical Group PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lackawanna Medical Group PC located?
- Lackawanna Medical Group PC's practice location on file with NPPES is 201 Smallacombe Dr, Scranton, PA 18508-2616.
- What is Lackawanna Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Lackawanna Medical Group PC is (570) 961-0171.
- Does Lackawanna Medical Group PC accept Medicare?
- Lackawanna Medical Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lackawanna Medical Group PC?
- The authorized official listed on Lackawanna Medical Group PC's NPPES record is Charles Grad, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lackawanna Medical Group PC's NPI active?
- Yes — Lackawanna Medical Group PC's NPI (1770650962) is active in the NPPES registry as of the last update on 2016-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.