NPIMap

Individual provider Active NPI

Patrick J Hanley, DO

  • Internal Medicine Physician
  • Jim Thorpe, PA
National Provider Identifier
1104802651
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-007118-L Issued in PA
Practice address
1122 North St
Jim Thorpe, PA 18229-1717
Phone
(272) 639-5450
Fax
(272) 639-5451
NPI assigned
Dec 16, 2005
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS007118L PA
Internal Medicine Physician 207R00000X OS-007118-L PA Primary

Addresses

Primary practice location

1122 North St
Jim Thorpe, PA 18229-1717

Mailing address

1122 North St
Jim Thorpe, PA 18229-1717
Phone (272) 639-5450

Other identifiers 1

IdentifierTypeStateIssuer
0015610530002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000524 PA Practitioner - Emergency MedicinePractitioner - Internal Medicine 0547297152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-007118-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Palmerton Emergency Medical Associates PC Emergency Medicine Past Accepting new patients
CMS Medical Care Corporation Past Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1122 North St
Jim Thorpe, PA 18229
Phone (272) 639-5450

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

135 Lafayette Ave
Palmerton, PA 18071
Phone (610) 826-1103

Interoperability endpoints

  • Direct secure messaging: patrick.hanley@slpg.direct-sluhn.org

Organizations & group practices 8

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1104802651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NORTH ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291717",
            "telephone_number": "272-639-5450",
            "fax_number": "272-639-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NORTH ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291717",
            "telephone_number": "272-639-5450",
            "fax_number": "272-639-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS007118L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-007118-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015610530002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jim Thorpe, PA

Sources for this page

Verify at the official NPI Registry.