Organization Active NPI

Lehigh Valley Physician Group

Doing business as K Shah General Surgery of LVPG

  • Surgical Critical Care Physician
  • Allentown, PA
National Provider Identifier
1245667344
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Doing business as
K Shah General Surgery of LVPG
Practice address
1240 S Cedar Crest Blvd
Suite 308
Allentown, PA 18103-6369
Phone
(610) 402-1175
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
John Berzinsky
Title
Assoc Ex Administrator LVPG Finance
Phone
(484) 884-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X PA Primary

Addresses

Primary practice location

1240 S Cedar Crest Blvd
Suite 308
Allentown, PA 18103-6369

Mailing address

PO Box 1754
Allentown, PA 18105-1754

Other names 1

  • K Shah General Surgery of LVPG Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000335 PA Part B Supplier - Clinic/Group Practice 3072425123 Receives reassigned benefits from 3,502 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Lehigh Vly Phy GP

Locations

1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1245667344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD",
            "address_2": "SUITE 308",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036369",
            "telephone_number": "610-402-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "BERZINSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ASSOC EX ADMINISTRATOR LVPG FINANCE",
        "authorized_official_telephone_number": "484-884-4500"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K Shah General Surgery of LVPG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.