Individual provider Active NPI

Dennyel Rhianon Litz, PA-C

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1154680833
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055387 Issued in PA
Practice address
850 S 5TH Street
Allentown, PA 18103-3295
Phone
(610) 776-3278
Fax
(610) 776-3326
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055387 PA Primary

Addresses

Primary practice location

850 S 5TH Street
Allentown, PA 18103-3295

Mailing address

850 S 5TH Street
Allentown, PA 18103-3295
Phone (610) 776-3278

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
I20120927000293 PA Practitioner - Physician Assistant 4880843317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Rehabilitation HospitalGroup PAC ID 9335032390, 21 clinicians

Practice addresses (Care Compare)

2845 Ctr Valley Pkwy
Suite 450
Center Valley, PA 18034-9031
Phone (610) 776-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital CurrentSince Jul 23, 2012 Accepting new patients

Locations

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

2845 Center Valley Pkwy
Ste 450
Center Valley, PA 18034
Phone (610) 776-3278

3200 Center Valley Pkwy
Center Valley, PA 18034
Phone (610) 242-0345

510 Brookmont Dr
Effort, PA 18330
Phone (610) 681-4070

Interoperability endpoints

  • Direct secure messaging: dennyel.litz.1@11391.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1154680833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033295",
            "telephone_number": "610-776-3278",
            "fax_number": "610-776-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 5TH STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033295",
            "telephone_number": "610-776-3278",
            "fax_number": "610-776-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITZ",
        "first_name": "DENNYEL",
        "middle_name": "RHIANON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.