Active NPI
Gregory M Stout, DO
- Hospitalist Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS012250
- 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, 2021
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00165766 | Other | PA | PALMETTO GBA MEDICARE |
| 50044398 | Other | PA | CAPITAL BLUE CROSS |
| 1619023 | Other | PA | HIGHMARK 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS012250 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Internal Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | 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
- 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.
-
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-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Internal Medicine
-
dba LVPG Family Medicine - Brodheadsville
- Family Medicine Physician
- Brodheadsville, PA
- NPI 1477625879
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- Home Health Agency
- Pottsville, PA
- NPI 1457350548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.