Karl T. Clebak, M.D.
Family Medicine in Hershey, PA. Individual provider (NPI-1).
NPI number1154565638
StatusActive
Last updated in NPPESNov 1, 2016
Details
- NPI
- 1154565638
- Entity type
- Individual (NPI-1)
- Name
- Karl T. Clebak
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2009
- Last updated
- Nov 1, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD457827 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207Q00000X | Family Medicine | 0101251430 | VA |
Practice location
500 University DrHershey, PA 17033-2360
Phone 800-243-1455
Mailing address
P.O. Box 858, Mc A410Hershey, PA 17033-0858
Phone 800-243-1455
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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