Individual provider Active NPI

Gnanaprakash Gopal, MD

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1295786689
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD043751L Issued in PA
Practice address
2649 Schoenersville Rd Ste 100
Bethlehem, PA 18017-7326
Phone
(484) 884-8110
NPI assigned
May 12, 2006
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 MD043751L PA Primary

Addresses

Primary practice location

2649 Schoenersville Rd Ste 100
Bethlehem, PA 18017-7326

Mailing address

701 W Union Blvd
Unit 5
Bethlehem, PA 18018-3732

Other practice location 1

2450 Butler St
Easton, PA 18042-5303
Phone (610) 991-3136

Other practice location 2

701 W Union Blvd
Unit 5
Bethlehem, PA 18018-3732
Phone (610) 868-6880

Other identifiers 13

IdentifierTypeStateIssuer
001946890MedicaidPA
690625OtherPAKEYSTONE CENTRAL
98280OtherPALOCAL 825 FUND
P005058OtherPAGATEWAY HEALTH PLAN
080194789OtherPARAILROAD MEDICARE
150486OtherPATHREE RIVERS/UNISON
50012813OtherPACAPITAL BLUE CROSS
0525380000OtherPAKEYSTONE EAST
20029022OtherPAAMERIHEALTH MERCY
690625OtherPAAMERIHEALTH (IBC)
690625OtherPAHIGHMARK BLUE SHIELD
520682OtherPAAETNA
79407OtherPAGEISINGER HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000107 PA Practitioner - Family Practice 4688770589 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Jul 6, 2019 Accepting new patients
St Luke's Hospital CurrentSince Jul 6, 2019 Accepting new patients
St. Luke's Hosptial Family Medicine CurrentSince Jul 6, 2019 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Advanced Primary Care Associates CurrentSince Apr 23, 2019 Accepting new patients
St. Luke's Hospital Family Medicine CurrentSince Jul 6, 2019 Accepting new patients
St. Luke's Hospital Family Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 20, 2023 Accepting new patients
NJ Certified Dermatology PC PastSince Apr 23, 2019 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

2649 Schoenersville Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-8110

2649 Schoenersville Rd
Ste 201
Bethlehem, PA 18017
Phone (610) 868-6833

701 W Union Blvd
Unit 5
Bethlehem, PA 18018
Phone (610) 867-1511

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: gnanaprakash.gopal.1@16760.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16760/brand/1/csg/1/fhir/r4

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, 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1295786689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W UNION BLVD",
            "address_2": "UNIT 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 SCHOENERSVILLE RD STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177326",
            "telephone_number": "484-884-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Butler St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180425303",
            "country_code": "US",
            "telephone_number": "610-991-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W UNION BLVD",
            "address_2": "UNIT 5",
            "address_purpose": "LOCATION",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183732",
            "country_code": "US",
            "telephone_number": "610-868-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "GNANAPRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043751L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001946890",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE CENTRAL",
            "identifier": "690625",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 825 FUND",
            "identifier": "98280",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "P005058",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080194789",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS/UNISON",
            "identifier": "150486",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50012813",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0525380000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20029022",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH (IBC)",
            "identifier": "690625",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "690625",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "520682",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "79407",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2450 Butler St",
            "city": "Easton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180425303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.