Individual provider Active NPI

Joseph Michael Ahearn III, MD

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1285257113
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD478772 Issued in PA
Practice address
2545 Schoenersville Rd FL 5
Bethlehem, PA 18017-7300
Phone
(484) 884-6527
NPI assigned
May 27, 2020
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2024034697 MO
Psychiatry Physician 2084P0800X MD478772 PA Primary

Addresses

Primary practice location

2545 Schoenersville Rd FL 5
Bethlehem, PA 18017-7300

Mailing address

1812 W Turner St
Allentown, PA 18104-5618
Phone (412) 605-8266

Other practice location 1

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone (239) 208-2206

Other practice location 2

211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO2 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
I20240710005231 FL Practitioner - Psychiatry 2264873470 Reassigns benefits to 1 organization
I20241017000485 MO Practitioner - Psychiatry 2264873470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11215 Metro Pkwy
Suite 1
Fort Myers, FL 33966-1206

761 W Kings College Dr
Saint Johns, FL 32259-5943

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families CurrentSince Jan 28, 2026 Accepting new patients
Meritas Health Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jahearn1595550@direct.lhs.org

Organizations & group practices 5

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 1

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1285257113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W TURNER ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045618",
            "telephone_number": "412-605-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE RD FL 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11215 Metro Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 NE 54th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184330",
            "country_code": "US",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2024034697",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD478772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.