Individual provider Active NPI

Michael M Sidhom, M.D., M.S.P.H.

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1235496340
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD456181 Issued in PA
Practice address
153 Brodhead Rd
St. Luke'S North - Dept. of Occupational Medicine
Bethlehem, PA 18017
Phone
(484) 526-3005
Fax
(484) 526-3242
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD456181 PA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD456181 PA
Family Medicine Physician 207Q00000X MD456181 PA Primary

Addresses

Primary practice location

153 Brodhead Rd
St. Luke'S North - Dept. of Occupational Medicine
Bethlehem, PA 18017

Mailing address

153 Brodhead Rd
St. Luke'S North - Dept. of Occupational Medicine
Bethlehem, PA 18017
Phone (484) 526-3005

Other practice location 1

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160902000602 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 1658667431 Reassigns benefits to 9 organizations
I20170322000707 NJ Practitioner - Family Practice 1658667431 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital Monroe Campus Family Medicine CurrentSince Oct 14, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Aug 15, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Aug 15, 2022 Accepting new patients
St. Luke'S Warren Physician Group, PC Family Medicine CurrentSince Jan 10, 2017 Accepting new patients
St. Luke'S Hosptial Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
St. Luke'S Hospital Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jul 29, 2023 Accepting new patients
St. Luke'S Quakertown Hospital Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 15, 2022 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Oct 31, 2016 Accepting new patients
St Luke'S Hospital CurrentSince Aug 1, 2016 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Family Medicine Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 10, 2017 Accepting new patients
St. Luke'S Quakertown Hospital Current Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Jul 29, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Oct 14, 2017 Accepting new patients
GSL Hospital Family Medicine CurrentSince Sep 30, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 15, 2022 Accepting new patients
St. Luke'S Quakertown Hospital Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Aug 1, 2016 Accepting new patients
St. Luke'S Hospital Family Medicine Current Accepting new patients

Locations

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

501 Cetronia Rd
Allentown, PA 18104
Phone (484) 426-2501

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

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

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

2793 Geryville Pike
Pennsburg, PA 18073
Phone (267) 424-8005

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: michael.sidhom@slpg.direct-sluhn.org

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1235496340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "address_2": "ST. LUKE'S NORTH - DEPT. OF OCCUPATIONAL MEDICINE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "484-526-3005",
            "fax_number": "484-526-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "address_2": "ST. LUKE'S NORTH - DEPT. OF OCCUPATIONAL MEDICINE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "484-526-3005",
            "fax_number": "484-526-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-6698",
            "fax_number": "215-662-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHOM",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD456181",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PA",
            "license": "MD456181",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD456181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.