Individual provider Active NPI

Michael C Vichnin, M.D.

  • Diagnostic Radiology Physician
  • Allentown, PA
National Provider Identifier
1336198316
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD419671 Issued in PA
Practice address
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone
(610) 402-8080
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD419671 PA Primary

Addresses

Primary practice location

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Mailing address

1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256
Phone (610) 770-1606

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
I20100527000382 PA Practitioner - Diagnostic Radiology 9739218876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606

1220 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 740-9500

1230 S Cedar Crest Blvd
Allentown, PA 18103-6366

1627 W Chew St
Allentown, PA 18104-3648
Phone (610) 969-2214

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-2271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.81 of 100Reported as group
Quality
75.84
Improvement activities
40
Cost
66.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD419671PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Jul 15, 2002 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 Accepting new patients

Locations (25 of 46)

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

1255 S Cedar Crest Blvd
Ste 3600
Allentown, PA 18103

1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-1070

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550

1230 S Cedar Crest Blvd
Ste 202
Allentown, PA 18103
Phone (610) 402-4691

6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181

1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032

2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

1592 Route 739
Dingmans Fry, PA 18328
Phone (570) 828-1900

400 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1336198316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 3600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-770-1606",
            "fax_number": "610-740-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICHNIN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD419671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.