Individual provider Active NPI

Martina Vendrame, MD PHD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Allentown, PA
National Provider Identifier
1063659225
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
MD458011 Issued in PA
Practice address
1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone
(610) 402-8420
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD458011 PA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD458011 PA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 070921 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 36129378 IL
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 36129378 IL

Addresses

Primary practice location

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224

Mailing address

One Medical Ctr Blvd Acp 533
Han Neurological
Upland, PA 19013-3902
Phone (610) 874-1184

Other practice location 1

1707 Meadows Ln
Suite A
Vidalia, GA 30474-7200
Phone (912) 538-0003

Other identifiers 1

IdentifierTypeStateIssuer
003139553AMedicaidGA

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
I20160721001083 PA Practitioner - Neurology 8022142165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

211 S 9TH St
Suite 500
Philadelphia, PA 19107-6810
Phone (215) 955-6175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36129378ILMDSleep Medicine (Internal Medicine) Physician
MD458011PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 25, 2022 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Jefferson University Physicians CurrentSince Sep 1, 2025 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 25, 2022 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. PastSince Jul 1, 2016 Accepting new patients
Jefferson University Physicians Past Accepting new patients
CGH Medical Center Past Accepting new patients
Boston University Neurology Associates, Inc. Neurology PastSince Jul 1, 2010 Accepting new patients

Locations

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

1250 S Cedar Crest Blvd
Ste 405
Allentown, PA 18103
Phone (610) 402-8420

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1770 Bathgate Rd
Ste 402
Bethlehem, PA 18017
Phone (484) 884-8950

1 Medical Center Blvd
#533
Chester, PA 19013
Phone (215) 874-1184

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 533
Chester, PA 19013
Phone (610) 874-1184

300 Evergreen Dr
Ste 150
Glen Mills, PA 19342
Phone (610) 328-8830

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

211 S 9th St
Ste 500
Philadelphia, PA 19107
Phone (215) 955-6175

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1063659225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CTR BLVD ACP 533",
            "address_2": "HAN NEUROLOGICAL",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-874-1184",
            "fax_number": "610-874-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD STE 405",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036224",
            "telephone_number": "610-402-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Meadows Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747200",
            "country_code": "US",
            "telephone_number": "912-538-0003",
            "fax_number": "912-538-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENDRAME",
        "first_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD458011",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "PA",
            "license": "MD458011",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "070921",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "36129378",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "36129378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003139553A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.