Individual provider Active NPI

Nenna N Egboh, M.D.

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1104053800
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT198011 Issued in PA
Practice address
1240 S Cedar Crest Blvd Ste 410
Allentown, PA 18103-6218
Phone
(610) 402-5200
NPI assigned
Jun 19, 2009
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 MT198011 PA Primary

Addresses

Primary practice location

1240 S Cedar Crest Blvd Ste 410
Allentown, PA 18103-6218

Mailing address

1240 S Cedar Crest Blvd Ste 410
Allentown, PA 18103-6218
Phone (610) 402-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, PA, NV, OK, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20121025000673 OH Practitioner - Internal Medicine 2163672239 Reassigns benefits to 3 organizations
I20200504002135 TX Practitioner - Emergency Medicine 2163672239 Reassigns benefits to 1 organization
I20201023002346 PA Practitioner - Internal MedicinePractitioner - Hospitalist 2163672239 Reassigns benefits to 1 organization
I20210806001519 NV Practitioner - Internal Medicine 2163672239 Reassigns benefits to 1 organization
I20220628000792 OK Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163672239 Reassigns benefits to 1 organization
I20220629000949 WI Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163672239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Emerus Pennsylvania Inpatient Providers PLLCGroup PAC ID 5092292904, 22 clinicians
Emerus Nevada Inpatient Providers PLLCGroup PAC ID 1557749512, 21 clinicians
Emerus Inpatient Providers SCGroup PAC ID 1850787995, 15 clinicians
Emerus Oklahoma Hospitalists PLLCGroup PAC ID 3577958834, 21 clinicians

Practice addresses (Care Compare)

1015 W Baltimore Pike
West Grove, PA 19390-9459
Phone (877) 346-2211

1550 W Craig Rd
Suite 100
North Las Vegas, NV 89032-0329
Phone (832) 423-3927

16088 San Pedro Ave
San Antonio, TX 78232-2251
Phone (210) 402-4092

4935 S 76TH St
Suite 100
Milwaukee, WI 53220-4305
Phone (877) 346-2211

9417 N Council Rd
Oklahoma City, OK 73162-6228
Phone (713) 637-1146

N88W14275 Main St
Menomonee Falls, WI 53051-2314
Phone (877) 346-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT198011PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerus Oklahoma Hospitalists PLLC CurrentSince Mar 18, 2022 Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 28, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 28, 2015 Accepting new patients
Ohiohealth Corporation Internal Medicine Current Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Jun 25, 2013 Accepting new patients
Emerus Pennsylvania Inpatient Providers PLLC CurrentSince Nov 9, 2025 Accepting new patients
Emerus Nevada Inpatient Providers PLLC CurrentSince Mar 18, 2022 Accepting new patients
Emerus Inpatient Providers SC CurrentSince Mar 18, 2022 Accepting new patients
Leading Edge Emergency Physicians, Inc Past Accepting new patients

Locations

1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032
Phone (702) 777-3615

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

4801 SE 15th St
Del City, OK 73115
Phone (405) 500-3380

1401 SW 34th St
Moore, OK 73160
Phone (405) 500-3330

300 S Rockwell Ave
Oklahoma City, OK 73128
Phone (405) 500-3430

9417 N Council Rd
Oklahoma City, OK 73162
Phone (405) 500-3280

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

8686 New Trails Dr
Ste 100
The Woodlands, TX 77381
Phone (713) 637-1004

N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001

Interoperability endpoints

  • Direct secure messaging: negboh1254286@direct.sw.org

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 4

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1104053800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD STE 410",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036218",
            "telephone_number": "610-402-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD STE 410",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036218",
            "telephone_number": "610-402-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBOH",
        "first_name": "NENNA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT198011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.