NPIMap

Organization Active NPI

St Luke's Physician Group Inc

Doing business as St. Luke's Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, PA
National Provider Identifier
1376003541
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ST LUKE'S PHYSICIAN GROUP INC
Doing business as
St. Luke's Podiatry Associates
Practice address
303 W Broad St
Bethlehem, PA 18018-5526
Phone
(610) 865-0311
Fax
(610) 865-9458
NPI assigned
Mar 22, 2019
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Sue Chiavaroli
Title
Supervisor
Phone
(484) 526-3569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

303 W Broad St
Bethlehem, PA 18018-5526

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-3569

Other practice location 1

1534 Park Ave Ste 230
Quakertown, PA 18951-1086
Phone (215) 529-5222

Other practice location 2

2550 Route 100
Macungie, PA 18062
Phone (610) 865-0311

Other practice location 3

1941 Hamilton St
Allentown, PA 18104-6470
Phone (610) 865-0311

Other names 1

  • St. Luke's Podiatry Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000062 PA Part B Supplier - Clinic/Group Practice 6709798333 Receives reassigned benefits from 3,523 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Upper Bucks Emergency M165 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2550 Route 100
Macungie, PA 18062
Phone (610) 628-7111

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1376003541",
    "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",
            "telephone_number": "484-526-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1534 Park Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511086",
            "country_code": "US",
            "telephone_number": "215-529-5222",
            "fax_number": "215-536-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Route 100",
            "address_purpose": "LOCATION",
            "city": "Macungie",
            "state": "PA",
            "postal_code": "18062",
            "country_code": "US",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181046470",
            "country_code": "US",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST LUKE'S PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.