NPIMap

Individual provider Active NPI

Kathryn Graff, PA

  • Medical Physician Assistant
  • Allentown, PA
National Provider Identifier
1043807795
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA005508 Issued in PA
Practice address
1230 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6212
Phone
(610) 432-4529
NPI assigned
Dec 29, 2020
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 MA062250 PA
Medical Physician Assistant 363AM0700X OA005508 PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6212

Mailing address

95 Highland Ave Ste 309
Bethlehem, PA 18017-9424
Phone (484) 245-1110

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
I20220414000945 PA Practitioner - Physician Assistant 4385030683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Kidney Specialists, P.C.Group PAC ID 2860670734, 31 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
Stes 301 302 and 304
Allentown, PA 18103-6212
Phone (610) 432-4529

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062250PAMDPhysician Assistant
OA005508PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Kidney Specialists, P.C. CurrentSince Jan 1, 2026 Accepting new patients
Valley Kidney Specialists, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2014 City Line Rd
Ste 103
Bethlehem, PA 18017
Phone (610) 433-4100

95 Highland Ave
Ste 309
Bethlehem, PA 18017
Phone (484) 245-1110

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

Interoperability endpoints

  • Direct secure messaging: kgraff37412@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1043807795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 309",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179424",
            "telephone_number": "484-245-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-432-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "KATHRYN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062250",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.