NPIMap

Organization Active NPI

St. Luke'S Physician Group, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Center Valley, PA
National Provider Identifier
1215032503
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Practice address
5445 Lanark Road
3Rd Floor
Center Valley, PA 18034-0000
Phone
(484) 526-7300
Fax
(866) 449-5832
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Sue Chiavaroli
Title
Cvo Supervisor
Phone
(484) 526-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

5445 Lanark Road
3Rd Floor
Center Valley, PA 18034-0000

Mailing address

5445 Lanark Road
3Rd Floor
Center Valley, PA 18034-0000
Phone (484) 526-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000062 PA Part B Supplier - Clinic/Group Practice 6709798333 Receives reassigned benefits from 3,523 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

1255 S Cedar Crest Blvd
Ste 1400
Allentown, PA 18103
Phone (215) 432-1423

325 N 5th St
#3
Allentown, PA 18102

3361 Route 611
Bartonsville, PA 18321
Phone (272) 639-5320

108 Plaza Dr
Ste 101
Blandon, PA 19510
Phone (610) 208-4650

5425 Lanark Rd
Fl 3
Center Valley, PA 18034

800 Ostrum St
Ste 205
Fountain Hill, PA 18015
Phone (610) 865-4801

555 Delaware Ave
Palmerton, PA 18071
Phone (484) 426-2600

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1215032503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 LANARK ROAD",
            "address_2": "3RD FLOOR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180340000",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LANARK ROAD",
            "address_2": "3RD FLOOR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180340000",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CVO SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.