Individual provider Active NPI

Olga Luisa Infante, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1326177213
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD042652E Issued in PA
Practice address
1107 Eaton Ave
Bethlehem, PA 18018-1862
Phone
(484) 526-2400
Fax
(484) 526-3697
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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 MD042652E PA
Child & Adolescent Psychiatry Physician 2084P0804X MD042652E PA Primary

Addresses

Primary practice location

1107 Eaton Ave
Bethlehem, PA 18018-1862

Mailing address

1107 Eaton Ave
Bethlehem, PA 18018-1862
Phone (484) 526-2400

Other identifiers 1

IdentifierTypeStateIssuer
001168992MedicaidPA

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
I20070719000441 PA Practitioner - Psychiatry 5890896914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1107 Eaton Ave
St Lukes Psych Assoc
Bethlehem, PA 18018-1862
Phone (610) 954-3012

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Foundation Inc CurrentSince Jul 1, 2022 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 18, 2012 Accepting new patients
St. Luke's Physician Group, Inc. Psychiatry CurrentSince Jul 18, 2012 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Northeast Community Mental Health Center, Inc. Past Accepting new patients
Harmony Wellness Group Inc PastSince Aug 15, 2018 Accepting new patients

Locations

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

807 Lawn Ave
Sellersville, PA 18960

Interoperability endpoints

  • Direct secure messaging: olga.infante@slpg.direct-sluhn.org

Organizations & group practices 6

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1326177213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181862",
            "telephone_number": "484-526-2400",
            "fax_number": "484-526-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181862",
            "telephone_number": "484-526-2400",
            "fax_number": "484-526-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTE",
        "first_name": "OLGA",
        "middle_name": "LUISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD042652E",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD042652E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001168992",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.