John P Pettine, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD066467L Issued in PA

Practice address

2649 Schoenersville Rd
Suite 201
Bethlehem, PA 18017-7326

Phone

(610) 868-6880

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpettine12264@direct2.lvhn.org

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.

• Lehigh Valley Physician Group

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment Care Compare group
• John P Pettine MD PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1992726046
  NPD (past) Authorized official
• Lehigh Valley Physician Group

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  • Obstetrics & Gynecology Physician
  • Allentown, PA
  • NPI 1245329317
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lehigh Valley Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1164400131
  Care Compare affiliation
• Lehigh Valley Hospital

  • Clinic/Center
  • Allentown, PA
  • NPI 1194673467

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital

  • Clinic/Center
  • Allentown, PA
  • NPI 1528627155

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  Care Compare affiliation
• Lehigh Valley Hospital

  • Children's Hospital
  • Allentown, PA
  • NPI 1952954307
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1396769337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754",
            "telephone_number": "610-798-4500",
            "fax_number": "610-798-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 SCHOENERSVILLE RD",
            "address_2": "SUITE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177326",
            "telephone_number": "610-868-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINE",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD066467L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2263803",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0017371000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "434825",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Petrera, DO
• Michael A Petrillo, D.M.D.
• Jonathan Thomas Petrole, M.S., LPC
• Skylar Rose Petrone, PA-C
• Kyle Petsch
• Nara Lea Pezolano, LMSW
• Thomas R Pfeiffer, M.D.
• Matthew Pfenninger, M.D.
• PGB LLC
• Dattatreya M Phadke, MD

• Internal Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.