Individual provider Active NPI

Sophia Michailidis, DO

  • Obesity Medicine (Family Medicine) Physician
  • Easton, PA
National Provider Identifier
1023049657
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
OS008048L Issued in PA
Practice address
3701 Corriere Rd Ste 25
Easton, PA 18045-7991
Phone
(484) 591-7000
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008048L PA
Obesity Medicine (Family Medicine) Physician 207QB0002X 246455 MA
Obesity Medicine (Family Medicine) Physician 207QB0002X OS008048L PA Primary

Addresses

Primary practice location

3701 Corriere Rd Ste 25
Easton, PA 18045-7991

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other identifiers 1

IdentifierTypeStateIssuer
MI464401OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231001938 PA Practitioner - Family Practice 4688856644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1243 S Cedar Crest Blvd
2200 LVPG Bariatric Medicine
Allentown, PA 18103-6268
Phone (610) 402-2500

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
246455MAMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Oct 2, 2017 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 2, 2017 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2016 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103
Phone (610) 402-2500

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

3800 Sierra Cir
Ste 115
Center Valley, PA 18034
Phone (484) 664-2480

100 N Academy Ave
Danville, PA 17822

3701 Corriere Rd
Ste 15
Easton, PA 18045
Phone (484) 591-7020

1580 Center Ave
Jim Thorpe, PA 18229
Phone (570) 325-2705

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3701 Corriere Rd
Ste 25
Palmer Township, PA 18045
Phone (484) 591-7000

Interoperability endpoints

  • Direct secure messaging: smichailidis177338@direct2.lvhn.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1023049657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD STE 25",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAILIDIS",
        "first_name": "SOPHIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008048L",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MA",
            "license": "246455",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "PA",
            "license": "OS008048L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MI464401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.