Individual provider Active NPI

Wayne T Fellows, D.O.

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1265869952
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS019078 Issued in PA
Practice address
2101 Emrick Blvd Ste 100
Bethlehem, PA 18020-8040
Phone
(610) 868-4000
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 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 OS019078 PA Primary

Addresses

Primary practice location

2101 Emrick Blvd Ste 100
Bethlehem, PA 18020-8040

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622

Other practice location 1

3212 Kutztown Rd
Laureldale, PA 19605
Phone (610) 816-2060

Other practice location 2

2310 Schoenersville Rd
Bethlehem, PA 18017-3602
Phone (484) 403-7560

Other practice location 3

630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20150715002219 NJ Practitioner - Family Practice 3173836483 Reassigns benefits to 1 organization
I20180618000915 PA Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 3173836483 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2101 Emerick Blvd
100 LVPG Family and Internal Medicine
Bethlehem, PA 18020-8040
Phone (610) 868-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists, Inc Family Medicine CurrentSince Nov 10, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jun 25, 2018 Accepting new patients
Vohra Post Acute Care Physicians of the Northeast PA Family Medicine CurrentSince Jul 8, 2019 Accepting new patients
Pottstown Medical Specialists, Inc CurrentSince Nov 10, 2022 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
MHP MD PLLC CurrentSince Sep 1, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Jun 25, 2018 Accepting new patients
Osh - PA Physicians Group, PC Family Medicine CurrentSince May 20, 2024 Accepting new patients

Locations

1336 Catasauqua Rd
Bethlehem, PA 18017
Phone (484) 637-5006

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

1555 Medical Dr
Pottstown, PA 19464
Phone (610) 326-7820

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

3212 Kutztown Rd
Reading, PA 19605
Phone (610) 816-2060

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 10

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 5

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1265869952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EMRICK BLVD STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208040",
            "telephone_number": "610-868-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3212 Kutztown Rd",
            "address_purpose": "LOCATION",
            "city": "Laureldale",
            "state": "PA",
            "postal_code": "19605",
            "country_code": "US",
            "telephone_number": "610-816-2060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 Schoenersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180173602",
            "country_code": "US",
            "telephone_number": "484-403-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Mantua Pike",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080963233",
            "country_code": "US",
            "telephone_number": "856-812-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "WAYNE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.