NPIMap

Individual provider Active NPI

Gardia Germinal

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1124554431
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD475000 Issued in PA
Practice address
4379 Easton Ave Ste 100
Bethlehem, PA 18020-1483
Phone
(484) 503-2424
Fax
(484) 503-2425
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT212871 PA
Family Medicine Physician 207Q00000X MD475000 PA Primary

Addresses

Primary practice location

4379 Easton Ave Ste 100
Bethlehem, PA 18020-1483

Mailing address

4379 Easton Ave Ste 100
Bethlehem, PA 18020-1483
Phone (484) 503-2424

Other practice location 1

2830 Easton Ave
Bethlehem, PA 18017-4204
Phone (484) 526-3550

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
I20211011002683 PA Practitioner - Family Practice 0749554285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

4379 Easton Ave
101 William Penn
Bethlehem, PA 18020-1843
Phone (610) 814-2424

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD475000PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group Inc. Family Medicine CurrentSince Jul 20, 2021 Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jul 20, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

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

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

4379 Easton Ave
Ste 101
Bethlehem, PA 18020
Phone (610) 625-1486

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

Interoperability endpoints

  • Direct secure messaging: gardia.germinal@slpg.direct-sluhn.org

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1124554431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 EASTON AVE STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201483",
            "telephone_number": "484-503-2424",
            "fax_number": "484-503-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 EASTON AVE STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201483",
            "telephone_number": "484-503-2424",
            "fax_number": "484-503-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180174204",
            "country_code": "US",
            "telephone_number": "484-526-3550",
            "fax_number": "484-526-3693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERMINAL",
        "first_name": "GARDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT212871",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD475000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.