Individual provider Active NPI

Rajdeep Bajwa, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1104516954
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027377 Issued in PA
Practice address
1791 Airport Rd
Allentown, PA 18109-9528
Phone
(484) 658-3010
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027377 PA Primary

Addresses

Primary practice location

1791 Airport Rd
Allentown, PA 18109-9528

Mailing address

1791 Airport Rd
Allentown, PA 18109-9528

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711001986 PA Practitioner - Nurse Practitioner 3971962796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1791 Airport Rd
Allentown, PA 18109-9528
Phone (484) 240-8195

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027377PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Sep 18, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Family Care Centers Inc CurrentSince Sep 18, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2023 Accepting new patients
Family Care Centers Inc. Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1791 Airport Rd
Allentown, PA 18109
Phone (484) 240-8195

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

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

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

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

6451 Village Ln
Macungie, PA 18062
Phone (610) 967-2772

1337 Blue Valley Dr
Ste 7
Pen Argyl, PA 18072
Phone (610) 654-1270

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

200 Schuylkill Medical Plz
Ste 200
Pottsville, PA 17901

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

292 Frantz Rd
Stroudsburg, PA 18360
Phone (570) 424-7390

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

2741 MacArthur Rd
Whitehall, PA 18052
Phone (610) 403-6000

Interoperability endpoints

  • Direct secure messaging: rbajwa315704@direct2.lvhn.org

Organizations & group practices 9

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.

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1104516954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 AIRPORT RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 AIRPORT RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099528",
            "telephone_number": "484-658-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "RAJDEEP",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.