NPIMap

Individual provider Active NPI

Mandeep Singh Samra, M.D.

  • Nephrology Physician
  • Allentown, PA
National Provider Identifier
1184913865
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD459293 Issued in PA
Practice address
1230 S Cedar Crest Blvd
Allentown, PA 18103-6367
Phone
(610) 432-4529
Fax
(610) 432-2206
NPI assigned
Apr 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD459293 PA
Nephrology Physician 207RN0300X MD459293 PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd
Allentown, PA 18103-6367

Mailing address

95 Highland Ave Ste 309
Bethlehem, PA 18017-9424
Phone (484) 245-1110

Other practice location 1

55 N 3rd St
Stroudsburg, PA 18360-2472
Phone (570) 424-9443

Other practice location 2

693 Port Carbon Saint Clair Hwy
Pottsville, PA 17901-8604
Phone (570) 429-1432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msamra19409@direct.acumenmd.com

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
I20161014000643 PA Practitioner - NephrologyPractitioner - Internal Medicine 4082907910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Kidney Specialists, P.C.Group PAC ID 2860670734, 31 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
Stes 301 302 and 304
Allentown, PA 18103-6212
Phone (610) 432-4529

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD459293PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Kidney Specialists, P.C. Multi-Specialty CurrentSince Apr 20, 2025 Accepting new patients
Valley Kidney Specialists, PC Multi-Specialty CurrentSince Apr 20, 2025 Accepting new patients
Kidney Care Specialists LLC Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

1230 S Cedar Crest Blvd
Ste 302304
Allentown, PA 18103
Phone (610) 402-2537

1230 S Cedar Crest Blvd
Ste 302
Allentown, PA 18103
Phone (610) 770-0616

95 Highland Ave
Ste 309
Bethlehem, PA 18017
Phone (484) 245-1110

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

278 Industrial Park Rd
#B
Pottsville, PA 17901
Phone (570) 429-1432

693 Port Carbon Saint Clair Hwy
Pottsville, PA 17901
Phone (570) 429-0788

55 N 3rd St
Stroudsburg, PA 18360
Phone (570) 424-9443

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 11

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1184913865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 309",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179424",
            "telephone_number": "484-245-1110",
            "fax_number": "484-403-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036367",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183602472",
            "country_code": "US",
            "telephone_number": "570-424-9443",
            "fax_number": "610-432-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "693 Port Carbon Saint Clair Hwy",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179018604",
            "country_code": "US",
            "telephone_number": "570-429-1432",
            "fax_number": "570-429-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "MANDEEP",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD459293",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD459293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msamra19409@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1230 S Cedar Crest Blvd",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.