NPIMap

Individual provider Active NPI

Todd R Holbrook, MD

  • Family Medicine Physician
  • Emmaus, PA
National Provider Identifier
1245231844
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD063546L Issued in PA
Practice address
619 Dalton St
Emmaus, PA 18049-3031
Phone
(610) 628-8200
Fax
(610) 965-6595
NPI assigned
Aug 3, 2005
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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 MD063546L PA Primary

Addresses

Primary practice location

619 Dalton St
Emmaus, PA 18049-3031

Mailing address

619 Dalton St
Emmaus, PA 18049-3031
Phone (610) 628-8200

Other identifiers 1

IdentifierTypeStateIssuer
001711286004MedicaidPA

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
I20040923000556 PA Practitioner - Family Practice 2466420781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

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
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

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

Locations

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

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

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: todd.holdbrook@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1245231844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DALTON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493031",
            "telephone_number": "610-628-8200",
            "fax_number": "610-965-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DALTON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493031",
            "telephone_number": "610-628-8200",
            "fax_number": "610-965-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "TODD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD063546L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001711286004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

Verify at the official NPI Registry.