NPIMap

Organization Active NPI

Star Community Health, Inc

  • General Practice Physician
  • Bethlehem, PA
National Provider Identifier
1033686159
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STAR COMMUNITY HEALTH, INC
Practice address
511 E 3Rd St Ste 202
Bethlehem, PA 18015-2180
Phone
(484) 526-4700
Fax
(833) 828-1813
NPI assigned
Oct 26, 2018
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Sue Chiavaroli
Title
Supervisor
Phone
(484) 526-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

511 E 3Rd St Ste 202
Bethlehem, PA 18015-2180

Mailing address

511 E 3Rd St Ste 202
Bethlehem, PA 18015-2180
Phone (484) 526-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206002009 PA Part B Supplier - Clinic/Group Practice 7618215237 Receives reassigned benefits from 343 practitioners
1 other NPI on this enrollment
Practice locations: Bethlehem, PA; Tamaqua, PA; Ringtown, PA; Lehighton, PA; Lansford, PA; Easton, PA; Allentown, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

450 Chew St
#101
Allentown, PA 18102
Phone (610) 776-4888

450 Chew St
#204
Allentown, PA 18102
Phone (610) 776-4758

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Star Community Health IncEaston, PA, CCN 391165 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Star Community Health IncBethlehem, PA, CCN 391168 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Star Community Health IncBethlehem, PA, CCN 731969 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 352

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 352

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1033686159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 3RD ST STE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180152180",
            "telephone_number": "484-526-4700",
            "fax_number": "833-828-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 3RD ST STE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180152180",
            "telephone_number": "484-526-4700",
            "fax_number": "833-828-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR COMMUNITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.