Individual provider Active NPI

Yehia Mishriki, MD

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1073542619
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD036882E Issued in PA
Practice address
3080 Hamilton Blvd
Suite 350
Allentown, PA 18103-3694
Phone
(484) 661-4650
NPI assigned
Jul 3, 2006
Last updated
Nov 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD036882E PA Primary

Addresses

Primary practice location

3080 Hamilton Blvd
Suite 350
Allentown, PA 18103-3694

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

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
I20101004000403 PA Practitioner - Internal Medicine 9234321704 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036882EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Nov 7, 1986 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 7, 1986 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients

Locations

1210 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-1150

1210 S Cedar Crest Blvd
Ste 3600
Allentown, PA 18103
Phone (610) 402-1150

2100 Mack Blvd
#2
Allentown, PA 18103
Phone (484) 884-0632

3080 Hamilton Blvd
Ste 250
Allentown, PA 18103
Phone (484) 661-4641

3080 Hamilton Blvd
Ste 350
Allentown, PA 18103
Phone (484) 661-4650

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1073542619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HAMILTON BLVD",
            "address_2": "SUITE 350",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033694",
            "telephone_number": "484-661-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRIKI",
        "first_name": "YEHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036882E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.