Individual provider Active NPI

Kamini Kalola, D.O.

  • Pediatrics Physician
  • Allentown, PA
National Provider Identifier
1356501159
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS014418 Issued in PA
Practice address
17TH and Chew Street
Allentown, PA 18103
Phone
(610) 969-4300
Fax
(610) 969-4332
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125049859 IL
Pediatrics Physician 208000000X OS014418 PA Primary

Addresses

Primary practice location

17TH and Chew Street
Allentown, PA 18103

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

3800 Sierra Cir Ste 100
Center Valley, PA 18034-8476
Phone (484) 664-2090

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
I20080908000347 PA Practitioner - Pediatric Medicine 7113093634 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125049859ILMDPediatrics Physician
OS014418PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 10, 2017 Accepting new patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388

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

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

3800 Sierra Cir
Ste 100
Center Valley, PA 18034
Phone (484) 664-2090

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Interoperability endpoints

  • Direct secure messaging: kkalola11603@direct2.lvhn.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1356501159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17TH AND CHEW STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-969-4300",
            "fax_number": "610-969-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Sierra Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "180348476",
            "country_code": "US",
            "telephone_number": "484-664-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALOLA",
        "first_name": "KAMINI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125049859",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS014418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.