Individual provider Active NPI

Tyler Guadagnino, PA-C

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1033583844
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058007 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-3218
Fax
(484) 526-3180
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058007 PA Primary
Physician Assistant 363A00000X OA003696 PA

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-3218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151214001505 PA Practitioner - Physician Assistant 7214238476 Reassigns benefits to 7 organizations
I20190510000883 NJ Practitioner - Physician Assistant 7214238476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, shared by 3 NPIs, 374 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690

250 S 21St St
Easton, PA 18042-3851

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA058007PAMDPhysician Assistant
OA003696PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group Inc CurrentSince Mar 1, 2016 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 1, 2016 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 18, 2019 Accepting new patients
St. Luke'S Hosptial CurrentSince Nov 30, 2015 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Nov 30, 2015 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 18, 2019 Accepting new patients
St Luke'S Hospital CurrentSince Nov 30, 2015 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 18, 2019 Accepting new patients
St Luke'S Hospital CurrentSince Nov 30, 2015 Accepting new patients
Carbon-Schuylkill Community Hospital, Inc. Physician Assistant CurrentSince Oct 28, 2016 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Oct 28, 2016 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Nov 30, 2015 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Hayman Salib MD PC Past Accepting new patients
St. Luke'S Hospital Physician Assistant Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615

325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 2

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1033583844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-3218",
            "fax_number": "484-526-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-3218",
            "fax_number": "484-526-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADAGNINO",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058007",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.