Active NPI
Guillermo Antonio De la Vega, MD
- Obstetrics & Gynecology Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD429959
- Practice address
- 1611 Pond Road
Suite 401
Allentown, PA 18104 - Phone
- (610) 398-7700
- Fax
- (610) 398-6917
- NPI assigned
- Nov 27, 2006
- Last updated
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD429959 | PA | Primary |
Addresses
Primary practice location
1611 Pond Road
Suite 401
Allentown, PA 18104
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108650KZK | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1431 Nursery St
202 LVPG Obstetrics and Gynegology
Fogelsville, PA 18051-1612
Phone (484) 273-4377
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Schuylkill Health System Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Family Care Centers Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Valley Health Partners Community Health Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Hazleton Professional Services | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients | |
| The Good Samaritan Hospital of Lebanon, Pennsylvania | Past | Accepting new patients | |
| Lehigh Valley Hospital Hazleton | Past | Accepting new patients | |
| Temple University Hospital, Inc | Past | Accepting new patients | |
| Temple University Hospital, Inc | Past | Accepting new patients |
Locations
1611 Pond Rd
Ste 401
Allentown, PA 18104
Phone (610) 398-7700
1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
1431 Nursery St
Ste 202
Fogelsville, PA 18051
Phone (484) 273-4377
1000 Alliance Dr
Hazleton, PA 18202
Phone (570) 501-6400
1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
525 Jamestown St
Philadelphia, PA 19128
Phone (215) 482-7970
171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229
700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440
642 State Route 93 Hwy
Ste 1
Sugarloaf, PA 18249
Phone (570) 708-1505
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- gdelavega11559@direct2.lvhn.org
- ldelavega290549@wellspan.direct-ci.com
Organizations & group practices 24
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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
Obstetrics & Gynecology
-
dba Lehigh Valley Physician Group-Hazleton
- Internal Medicine Physician
- Hazleton, PA
- NPI 1952464638
-
dba Lehigh Valley Physician Group-Schuylkill
- Internal Medicine Physician
- Pottsville, PA
- NPI 1588603567
Obstetrics & Gynecology
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba VHP - Lehigh Valley Physicians Practice
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1932735651
-
dba LVPG ExpressCare Pocono
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Obstetrics & Gynecology
-
dba LVPG Internal Medicine- 1255 Cedar Crest
- Internal Medicine Physician
- Allentown, PA
- NPI 1942608666
-
- General Practice Physician
- Hazleton, PA
- NPI 1942609599
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1083780761",
"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",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 POND ROAD",
"address_2": "SUITE 401",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18104",
"telephone_number": "610-398-7700",
"fax_number": "610-398-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA VEGA",
"first_name": "GUILLERMO",
"middle_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD429959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108650KZK",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.