Individual provider Active NPI

Gregory M Stout, DO

  • Hospitalist Physician
  • Allentown, PA
National Provider Identifier
1396795399
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS012250 Issued in PA
Practice address
1200 S Cedar Crest Blvd.
3Rd Floor Anderson Wing
Allentown, PA 18105
Phone
(610) 402-5369
Fax
(610) 402-5959
NPI assigned
May 11, 2006
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012250 PA
Hospitalist Physician 208M00000X OS012250 PA Primary

Addresses

Primary practice location

1200 S Cedar Crest Blvd.
3Rd Floor Anderson Wing
Allentown, PA 18105

Mailing address

1200 S Cedar Crest Blvd.
3Rd Floor Anderson Wing
Allentown, PA 18105
Phone (610) 402-5369

Other identifiers 3

IdentifierTypeStateIssuer
P00165766OtherPAPALMETTO GBA MEDICARE
50044398OtherPACAPITAL BLUE CROSS
1619023OtherPAHIGHMARK PA BLUE SHIELD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000975 PA Practitioner - HospitalistPractitioner - Internal Medicine 3870573892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2001
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)

3080 Hamilton Blvd
Suite 200
Allentown, PA 18103-3692
Phone (610) 776-1603

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS012250PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince May 18, 2009 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince May 18, 2009 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1200 S Cedar Crest Blvd
Fl 3
Allentown, PA 18103
Phone (610) 402-8355

1901 Hamilton St
Ste 100B
Allentown, PA 18104
Phone (610) 973-1410

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3080 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (484) 661-4641

401 N 17th St
Ste 201
Allentown, PA 18104
Phone (215) 432-6862

401 N 17th St
Ste 202
Allentown, PA 18104
Phone (610) 432-1427

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

Interoperability endpoints

  • Direct secure messaging: gstout11492@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1396795399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD.",
            "address_2": "3RD FLOOR ANDERSON WING",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18105",
            "telephone_number": "610-402-5369",
            "fax_number": "610-402-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD.",
            "address_2": "3RD FLOOR ANDERSON WING",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18105",
            "telephone_number": "610-402-5369",
            "fax_number": "610-402-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "GREGORY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012250",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS012250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "P00165766",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50044398",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "1619023",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.