Active NPI
Kristin M Menconi, M.D.
- Pediatrics Physician
- Trexlertown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD433148
- Practice address
- 6900 Hamilton Blvd
Trexlertown, PA 18087-9100 - Phone
- (610) 402-0427
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD433148 | PA | |
| Pediatrics Physician | 208000000X | MD433148 | PA | Primary |
Addresses
Primary practice location
6900 Hamilton Blvd
Trexlertown, PA 18087-9100
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (610) 798-4500
Other names 1
- Dr. Kristin Menconi Baranko
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 |
|---|---|---|---|---|
| I20080319000451 | PA | Practitioner - Pediatric Medicine | 8426134248 | 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 |
|---|---|---|---|
| Lehigh Valley Physician Group | Internal Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500
1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
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
6900 Hamilton Blvd
Trexlertown, PA 18087
Phone (610) 402-0101
Interoperability endpoints
- kmenconidrost11580@direct2.lvhn.org
Organizations & group practices 5
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.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
PA
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Internal Medicine
-
- Pediatric Hematology & Oncology Physician
- Bethlehem, PA
- NPI 1922172782
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1386719664",
"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": "610-798-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 HAMILTON BLVD",
"city": "TREXLERTOWN",
"state": "PA",
"postal_code": "180879100",
"telephone_number": "610-402-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCONI",
"first_name": "KRISTIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD433148",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD433148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BARANKO",
"middle_name": "MENCONI",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trexlertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.