Active NPI
Kevan Iffrig
- Urology Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD469271
- Practice address
- 2649 Schoenersville Rd Ste 101
Bethlehem, PA 18017-7317 - Phone
- (484) 884-3600
- NPI assigned
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 30845 | NE | |
| Urology Physician | 208800000X | MD469271 | PA | Primary |
Addresses
Primary practice location
2649 Schoenersville Rd Ste 101
Bethlehem, PA 18017-7317
Mailing address
Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Other practice location 1
Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Phone (719) 526-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Temple University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2649 Schoenersville Rd
Suite 101
Bethlehem, PA 18017-7317
Phone (484) 884-3600
Hospital & facility affiliations
- Lehigh Valley Home Care
- Lehigh Valley Hospital
- Lehigh Valley Hospital - Hazleton
- Schuylkill Medical Center - South Jackson Street
- Lehigh Valley Hospital - Pocono
- Lehigh Valley Hospital - Macungie
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD469271 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazleton Professional Services | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Urology | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| G. U., Inc. | Urology | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
175 S Union Blvd
Ste 315
Colorado Springs, CO 80910
Phone (719) 365-3700
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
4100 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 544-7070
2100 Mack Blvd
Fl 4
Allentown, PA 18103
2649 Schoenersville Rd
Ste 101
Bethlehem, PA 18017
Phone (484) 884-3600
422 Normal St
East Stroudsburg, PA 18301
Phone (570) 424-2100
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
50 Moisey Dr
Ste 210
Hazle Township, PA 18202
Phone (570) 501-6380
1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450
1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
911 Ligonier St
Ste 104
Latrobe, PA 15650
Phone (724) 539-9736
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
2226 Blakeslee Boulevard Dr E
#200
Lehighton, PA 18235
Phone (484) 884-1007
Organizations & group practices 16
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.
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Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gilbertsville, PA
- NPI 1588438956
-
- General Acute Care Hospital
- Macungie, PA
- NPI 1659150514
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Home Health Agency
- Allentown, PA
- NPI 1821061979
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- Rural Acute Care Hospital
- Pottsville, PA
- NPI 1235138405
-
- General Acute Care Hospital
- Hazleton, PA
- NPI 1548322720
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- General Acute Care Hospital
- Pottsville, PA
- NPI 1427050376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1215347471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2649 SCHOENERSVILLE RD STE 101",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177317",
"telephone_number": "484-884-3600"
}
],
"practiceLocations": [
{
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR B7500",
"address_purpose": "LOCATION",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"telephone_number": "719-526-7115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IFFRIG",
"first_name": "KEVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NE",
"license": "30845",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD469271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.