NPIMap

Individual provider Active NPI

Guillermo Ernesto Carnero Salazar, M.D.

  • Nephrology Physician
  • Allentown, PA
National Provider Identifier
1053579714
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD443589 Issued in PA
Practice address
1901 W Hamilton St, Suite 300
Allentown, PA 18104
Phone
(610) 628-7920
Fax
(610) 821-2853
NPI assigned
May 29, 2008
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD443589 PA Primary

Addresses

Primary practice location

1901 W Hamilton St, Suite 300
Allentown, PA 18104

Mailing address

1901 W Hamilton St, Suite 300
Allentown, PA 18104
Phone (610) 628-7920

Other identifiers 1

IdentifierTypeStateIssuer
102772903MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000119 PA Practitioner - Nephrology 6901061019 Reassigns benefits to 2 organizations
I20121214000005 NJ Practitioner - Nephrology 6901061019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1220 3Rd St
Whitehall, PA 18052-4905
Phone (610) 266-1706

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1901 W Hamilton St
300 St Lukes Nephrology Associates
Allentown, PA 18104-6459
Phone (610) 628-7920

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

421 Chew St
Allentown, PA 18102-3406
Phone (484) 503-1018

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-4959

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

800 Eaton Ave
Bethlehem, PA 18018-1832

801 Ostrm St
Bethlehem, PA 18015-1000

834 Eaton Ave
Bethlehem, PA 18018-1832
Phone (484) 526-7780

834 Eaton Avenue 1St Floor
St Luke's Obstetrics and Gynecology Associa
Bethlehem, PA 18018-1832
Phone (484) 526-7474

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD443589PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Apr 1, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 12, 2012 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 12, 2012 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 15, 2012 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Oct 15, 2012 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

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

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

1901 Hamilton St
Ste 300
Allentown, PA 18104
Phone (610) 628-7900

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

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

Interoperability endpoints

  • Direct secure messaging: guillermo.carnero@slpg.direct-sluhn.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1053579714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HAMILTON ST, SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-628-7920",
            "fax_number": "610-821-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HAMILTON ST, SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-628-7920",
            "fax_number": "610-821-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNERO SALAZAR",
        "first_name": "GUILLERMO",
        "middle_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD443589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102772903",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.