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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- LEHIGH VALLEY PHYSICIAN GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Lehigh Valley Physician Group (LVPG-Midwives)
- Lehigh Valley Physician Group (LVPG Surgical Oncology)
- Lehigh Valley Physician Group (LVPG - LV Family Health Center)
- Lehigh Valley Physician Group (Children's ER)
- Lehigh Valley Physician Group (LVPG Center For Womens Medicine)
- Lehigh Valley Physician Group (LVH Bariatric Medicine - Tower Place)
- Lehigh Valley Physician Group (AMC Medical Associates)
- Lehigh Valley Physician Group (Careworks)
- Lehigh Valley Physician Group (LVPG Allergy, Asthma and Immunology)
- Lehigh Valley Physician Group (LVPG School Based Behavioral Health)
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.