Individual provider Active NPI

Homayoon Bigdeli, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bethlehem, PA
National Provider Identifier
1063523835
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD350092L Issued in PA
Practice address
65 E Elizabeth Ave
Suite 708
Bethlehem, PA 18018-6506
Phone
(610) 868-9118
Fax
(610) 868-9446
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD350092L PA Primary

Addresses

Primary practice location

65 E Elizabeth Ave
Suite 708
Bethlehem, PA 18018-6506

Mailing address

65 E Elizabeth Ave
Suite 708
Bethlehem, PA 18018-6506
Phone (610) 868-9118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000037 PA Practitioner - Endocrinology 5890762272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD350092LPAMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1063523835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E ELIZABETH AVE",
            "address_2": "SUITE 708",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186506",
            "telephone_number": "610-868-9118",
            "fax_number": "610-868-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E ELIZABETH AVE",
            "address_2": "SUITE 708",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186506",
            "telephone_number": "610-868-9118",
            "fax_number": "610-868-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGDELI",
        "first_name": "HOMAYOON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD350092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.