NPIMap

Individual provider Active NPI

Simon George Tabchi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Allentown, PA
National Provider Identifier
1366705238
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006386 Issued in PA
Practice address
2895 Hamilton Blvd Ste 101
Allentown, PA 18104-6172
Phone
(610) 330-9740
Fax
(610) 432-4887
NPI assigned
Jun 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006386 PA Primary

Addresses

Primary practice location

2895 Hamilton Blvd Ste 101
Allentown, PA 18104-6172

Mailing address

2895 Hamilton Blvd Ste 101
Allentown, PA 18104-6172
Phone (610) 330-9740

Other identifiers 1

IdentifierTypeStateIssuer
1030474980002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000247 PA Practitioner - Podiatry 3971815952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Foot and Ankle Centers PLLCGroup PAC ID 8527399591, 29 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

2025 Fairview Ave
Easton, PA 18042-3915
Phone (610) 330-9740

2895 Hamilton Blvd
Suite 101
Allentown, PA 18104-6172
Phone (610) 330-9740

451 Chew St
Suite 405
Allentown, PA 18102-3424
Phone (610) 330-9740

511 E 3Rd St
Suite 200
Bethlehem, PA 18015-2072
Phone (484) 526-4700

599 Arcola Rd
Collegeville, PA 19426-3954
Phone (610) 642-5040

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Merit-based Incentive Payment System (MIPS)

Final score
84.79 of 100Reported as group
Quality
72.83
Promoting interoperability
98
Improvement activities
40
Cost
72.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue166
Removal of skin lesions19
Removal of nail tissue872
Removal or shaving of skin growth518
Skin biopsy18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Pace Foot and Ankle Centers PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Pace Foot and Ankle Centers PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Star Community Health, Inc CurrentSince Jun 22, 2019 Accepting new patients
Star Community Health, Inc CurrentSince Jun 22, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

451 Chew St
Ste 405
Allentown, PA 18102
Phone (610) 208-9100

2895 Hamilton Blvd
Ste 101
Allentown, PA 18104
Phone (610) 432-9593

6651 Silver Crest Rd
Ste 101
Bath, PA 18014
Phone (484) 526-7265

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440

2025 Fairview Ave
Easton, PA 18042
Phone (610) 258-3567

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

341 E Bertsch St
Lansford, PA 18232
Phone (570) 645-4334

602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519

Interoperability endpoints

  • Direct secure messaging: simon.tabchi@slpg.direct-sluhn.org
  • Direct secure messaging: stabchi86@pace.emadirect.md

Organizations & group practices 7

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 12

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1366705238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-330-9740",
            "fax_number": "610-432-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-330-9740",
            "fax_number": "610-432-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABCHI",
        "first_name": "SIMON",
        "middle_name": "GEORGE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-16",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030474980002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.