Individual provider Active NPI

Ralph A Primelo, MD

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1285680579
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD050830L Issued in PA
Practice address
2545 Schoenersville Road
Westgate 5TH Floor
Bethlehem, PA 18017-7300
Phone
(484) 884-6503
Fax
(484) 884-6504
NPI assigned
May 26, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 MD050830L PA Primary
Psychosomatic Medicine Physician 2084P0015X MD050830L PA

Addresses

Primary practice location

2545 Schoenersville Road
Westgate 5TH Floor
Bethlehem, PA 18017-7300

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

2710 Schoenersville Rd
Bethlehem, PA 18017-3574
Phone (610) 297-7500

Other practice location 2

2545 Schoenersville Road
5th Floor LVH-M South
Bethlehem, PA 18017-7300
Phone (484) 884-6503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050830LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital, Inc Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Lehigh Valley Hospital Psychiatry Past Accepting new patients
The Guidance Program Psychiatry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1285680579",
    "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",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE ROAD",
            "address_2": "WESTGATE 5TH FLOOR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-6503",
            "fax_number": "484-884-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Schoenersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180173574",
            "country_code": "US",
            "telephone_number": "610-297-7500",
            "fax_number": "610-297-7533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 Schoenersville Road",
            "address_2": "5th Floor LVH-M South",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177300",
            "country_code": "US",
            "telephone_number": "484-884-6503",
            "fax_number": "484-884-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIMELO",
        "first_name": "RALPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050830L",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "MD050830L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.