Individual provider Active NPI

Katerina C Valavanis, MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1073804126
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD437563 Issued in PA
Practice address
1730 W Chew St
Allentown, PA 18104-5549
Phone
(610) 969-3500
Fax
(610) 969-3509
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD437563 PA Primary

Addresses

Primary practice location

1730 W Chew St
Allentown, PA 18104-5549

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Other names 1

  • Katerina C Nacopoulos Former name

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
I20110520000231 PA Practitioner - Family Practice 2668658998 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

384 Airport Rd
Hazle Township, PA 18202-3325
Phone (570) 861-8717

4541 Milford Rd
East Stroudsburg, PA 18302-9657
Phone (570) 395-2514

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD437563PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Partners Community Health Center Current Accepting new patients
Family Care Centers Inc. Family Medicine CurrentSince Jan 27, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Jan 27, 2024 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince May 1, 2011 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine Current Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Jan 27, 2024 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince May 1, 2011 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1251 S Cedar Crest Blvd
Ste 102A
Allentown, PA 18103
Phone (610) 402-3940

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

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

4541 Milford Rd
East Stroudsburg, PA 18302
Phone (570) 395-2514

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Organizations & group practices 11

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 5

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1073804126",
    "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": "1730 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045549",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAVANIS",
        "first_name": "KATERINA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERINA",
            "last_name": "NACOPOULOS",
            "middle_name": "C",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.