NPIMap

Individual provider Active NPI

Timothy M Pellini, MD

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1033217302
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD432088 Issued in PA
Practice address
1245 S Cedar Crest Blvd
Suite 201
Allentown, PA 18103-6258
Phone
(610) 437-1931
Fax
(610) 433-8791
NPI assigned
Sep 20, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD432088 PA Primary

Addresses

Primary practice location

1245 S Cedar Crest Blvd
Suite 201
Allentown, PA 18103-6258

Mailing address

PO Box 1754
Allentown, PA 18105-1754
Phone (484) 884-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000621 PA Practitioner - Obstetrics/Gynecology 5294826095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1627 Chew St
Allentown, PA 18102-3648

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432088PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2007 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2007 Accepting new patients
Family Care Centers Inc CurrentSince Dec 9, 2023 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Family Care Centers Inc. Obstetrics & Gynecology CurrentSince Dec 9, 2023 Accepting new patients
Valley Health Partners Community Health Center Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2021 Accepting new patients
Hazleton Professional Services CurrentSince Dec 9, 2021 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients
Lehigh Valley Hospital - Schuylkill Past Accepting new patients

Locations

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1000 Alliance Dr
Hazleton, PA 18202
Phone (570) 501-6400

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

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

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

642 State Route 93 Hwy
Ste 1
Sugarloaf, PA 18249
Phone (570) 708-1505

Interoperability endpoints

  • Direct secure messaging: tpellini11558@direct2.lvhn.org

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1033217302",
    "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",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S CEDAR CREST BLVD",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036258",
            "telephone_number": "610-437-1931",
            "fax_number": "610-433-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLINI",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD432088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.