NPIMap

Individual provider Active NPI

Neil Jikaria, M.D.

  • Surgery Physician
  • Allentown, PA
National Provider Identifier
1447639943
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD481926 Issued in PA
Practice address
250 Cetronia Road
Suite 301
Allentown, PA 18104
Phone
(610) 437-2378
Fax
(610) 820-9983
NPI assigned
May 29, 2015
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LP03494 RI
Surgery Physician 208600000X MD481926 PA Primary

Addresses

Primary practice location

250 Cetronia Road
Suite 301
Allentown, PA 18104

Mailing address

250 Cetronia Road
Suite 301
Allentown, PA 18104
Phone (610) 437-2378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002001933 PA Practitioner - Plastic and Reconstructive Surgery 3476907999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Surgery AssociatesGroup PAC ID 0547207631, 7 clinicians

Practice addresses (Care Compare)

250 Cetronia Rd
Suite 301
Allentown, PA 18104-9168
Phone (610) 437-2378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481926PAMDSurgery Physician
LP03494RIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Surgery Associates CurrentSince Oct 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc. PastSince Oct 1, 2023 Accepting new patients

Locations

250 Cetronia Rd
Ste 301
Allentown, PA 18104
Phone (610) 437-2378

250 Cetronia Rd
Ste 302
Allentown, PA 18104
Phone (610) 366-7333

Interoperability endpoints

  • Direct secure messaging: njikaria@directaddress.net

Organizations & group practices 2

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 11

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1447639943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CETRONIA ROAD",
            "address_2": "SUITE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-437-2378",
            "fax_number": "610-820-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA ROAD",
            "address_2": "SUITE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-437-2378",
            "fax_number": "610-820-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIKARIA",
        "first_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP03494",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD481926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.