NPIMap

Individual provider Active NPI

Paola G Blanco, M.D.

  • Gastroenterology Physician
  • Allentown, PA
National Provider Identifier
1194759852
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD437345 Issued in PA
Practice address
1501 N Cedar Crest Blvd
Suite 110
Allentown, PA 18104-2309
Phone
(610) 821-2828
NPI assigned
Jul 10, 2006
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 228853 MA
Gastroenterology Physician 207RG0100X MD437345 PA Primary

Addresses

Primary practice location

1501 N Cedar Crest Blvd
Suite 110
Allentown, PA 18104-2309

Mailing address

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone (610) 821-2828

Other identifiers 1

IdentifierTypeStateIssuer
1023180680002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paolablanco@epgi.allscriptsdirect.net

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
I20091106000095 PA Practitioner - Gastroenterology 9739227034 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

401 N 17TH St
105 LV Specialty Care Physicians Practice
Allentown, PA 18104-5049
Phone (610) 969-4470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228853MAMDInternal Medicine Physician
MD437345PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Pennsylvania Gastroenterology & Liver Specialists P C Gastroenterology CurrentSince Aug 15, 2009 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 11, 2018 Accepting new patients
Family Care Centers Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Family Care Centers Inc. Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 11, 2018 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

2100 Mack Blvd
Fl 4
Allentown, PA 18103

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3258

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

175 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3401

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

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

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

Interoperability endpoints

  • Direct secure messaging: pblanco7897@direct2.lvhn.org

Organizations & group practices 10

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1194759852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD STE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD",
            "address_2": "SUITE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "PAOLA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228853",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD437345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023180680002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paolablanco@epgi.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1501 N Cedar Crest Blvd",
            "address_2": "Suite 110",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181042309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.