Jeffrey Faidley, MD
Individual provider Active NPI Hospitalist Physician · Bethlehem, PA
NPI 1023033404 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1023033404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- MD420053 (PA)
- Practice address
- 2545 Schoenersville Rd
Bethlehem, PA 18017-7300 - Phone
- (484) 884-9677
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Pennsylvania State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Pittsburgh Physicians
Lehigh Valley Physician Group
Practice addresses (Care Compare)
200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370
225 S Ctr Ave
Somerset, PA 15501-2033
Phone (814) 443-5000
I-78 Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-5369
Hospital & facility affiliations
- Upmc Somerset
- Lehigh Valley Hospital
- Upmc Presbyterian Shadyside
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060901000028 | PA | Practitioner - Hospitalist |
7214931385 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD420053 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Internal Medicine | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Internal Medicine | Current | Accepting new patients |
| Specialty Physicians of LVHN PC | Past | Accepting new patients | |
| Upmc Somerset | Past | Accepting new patients |
Locations
1250 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103
Phone (610) 402-6890
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
2545 Schoenersville Rd
Ofc 3RD
Bethlehem, PA 18017
Phone (484) 884-9677
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
Interoperability endpoints
- jfaidley86796@upmc.direct-ci.com
- jeffrey.r.faidley@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD420053 | PA | |
| Hospitalist Physician | 208M00000X | MD420053 | PA | Yes |
Addresses
Primary practice location
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Mailing address
PO Box 1754
Allentown, PA 18105-1754
NPI Registry JSON
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1023033404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1754",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181051754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177300",
"telephone_number": "484-884-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIDLEY",
"first_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD420053",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD420053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
- Alexia Kayla Fabey
- Kathleen Faccio
- Eric Faden
- Taira Fadler
- Brian Kevin Faenza
- Sarah Fakete
- James Michael Falco
- Gianna Leo Falcon
- Stephanie Anna Falcone
- Fallon-Kline Foot & Ankle Associates
All providers in Bethlehem, PA · Hospitalist Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.