Active NPI
James H. Hertzog, MD
- Pediatric Critical Care Medicine Physician
- Bethlehem, PA
National Provider Identifier
1366534240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD045577E
- Practice address
- 801 Ostrum St
Bethlehem, PA 18015-1000 - Phone
- (484) 526-4444
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD045577E | PA | Primary |
Addresses
Primary practice location
801 Ostrum St
Bethlehem, PA 18015-1000
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2067485 | Medicaid | NY | |
| 543744 | Medicaid | IA | |
| Q05754 | Medicaid | SC | |
| 8053006 | Medicaid | NJ | |
| 7611186 | Medicaid | NC | |
| 1773073 | Medicaid | PA | |
| 476540 | Medicaid | DC | |
| 6723195 | Medicaid | VA | |
| 1522710 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201003221 | PA | Practitioner - Pediatric Medicine | 3274711353 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St Lukes Hospital | Past | Accepting new patients |
Locations
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- james.hertzog@slpg.direct-sluhn.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Nephrology Physician
- Allentown, PA
- NPI 1588970248
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1366534240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "484-526-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZOG",
"first_name": "JAMES",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD045577E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2067485",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "543744",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q05754",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053006",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7611186",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1773073",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "476540",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6723195",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522710",
"state": "MD"
}
],
"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 Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.