Individual provider Active NPI

Kenneth Zahl, M.D.

  • Interventional Pain Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1417199217
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD-028311E Issued in PA
Practice address
41 E Elizabeth Ave
Bethlehem, PA 18018-6507
Phone
(570) 422-6666
Fax
(570) 796-9246
NPI assigned
Mar 25, 2009
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD-028311E PA Primary

Addresses

Primary practice location

41 E Elizabeth Ave
Bethlehem, PA 18018-6507

Mailing address

PO Box 1384
East Stroudsburg, PA 18301-4684
Phone (570) 422-6666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104000861 PA Practitioner - Interventional Pain Management 5193619856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Columbia University College of Physicians and Surgeons, 1981
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)

175 E Brown St
Suite 102
East Stroudsburg, PA 18301-3098
Phone (570) 422-6666

330 Main St
Dickson City, PA 18519-1691
Phone (610) 402-6164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-028311EPAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 26, 2024 Accepting new patients
Centerwell Certified Healthcare Corp PastSince Sep 19, 2015 Accepting new patients

Locations

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

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

175 E Brown St
Ste 102
East Stroudsburg, PA 18301
Phone (570) 422-6666

175 E Brown St
Ste 201B
East Stroudsburg, PA 18301
Phone (570) 424-1190

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

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

Organizations & group practices 6

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 6

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1417199217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1384",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183014684",
            "telephone_number": "570-422-6666",
            "fax_number": "570-796-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E ELIZABETH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186507",
            "telephone_number": "570-422-6666",
            "fax_number": "570-796-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHL",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD-028311E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.