NPIMap

Individual provider Active NPI

Carol Lisa Bub, M.D.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1215937271
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD059650L Issued in PA
Practice address
3440 Lehigh St Ste 102
Allentown, PA 18103-7001
Phone
(484) 822-5900
Fax
(484) 822-5965
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD059650L PA Primary

Addresses

Primary practice location

3440 Lehigh St Ste 102
Allentown, PA 18103-7001

Mailing address

3440 Lehigh St Ste 102
Allentown, PA 18103-7001
Phone (484) 822-5900

Other identifiers 1

IdentifierTypeStateIssuer
0016133000002MedicaidPA

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
I20040923000680 PA Practitioner - Family Practice 8123096278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1545 Broadway
Bethlehem, PA 18015-3901
Phone (484) 526-2400

3440 Lehigh St
Allentown, PA 18103-7001

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059650LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

3440 Lehigh St
Ste 102
Allentown, PA 18103
Phone (484) 658-5900

350 S Cedarbrook Rd
Allentown, PA 18104
Phone (610) 336-5696

1545 Broadway
Bethlehem, PA 18015
Phone (610) 865-6112

619 Dalton St
Emmaus, PA 18049
Phone (610) 965-2574

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: carol.bub@slpg.direct-sluhn.org

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1215937271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LEHIGH ST STE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037001",
            "telephone_number": "484-822-5900",
            "fax_number": "484-822-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LEHIGH ST STE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037001",
            "telephone_number": "484-822-5900",
            "fax_number": "484-822-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUB",
        "first_name": "CAROL",
        "middle_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD059650L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016133000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.