Individual provider Active NPI

Marta Pawka

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1467288233
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
74 W Broad St Ste 170
Bethlehem, PA 18018-5738
Phone
(484) 526-1260
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

74 W Broad St Ste 170
Bethlehem, PA 18018-5738

Mailing address

74 W Broad St Ste 170
Bethlehem, PA 18018-5738

Other identifiers 2

IdentifierTypeStateIssuer
OA007006OtherPASTATE BOARD OF OSTEOPATHIC MEDICINE
MA065971OtherPASTATE BOARD OF MEDICINE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002336 PA Practitioner - Physician Assistant 8022549583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

421 Chew St
Allentown, PA 18102-3406
Phone (484) 503-1018

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-4959

74 W Broad St
170 St Lukes Plastic and Reconstructive Surge
Bethlehem, PA 18018-5738
Phone (484) 526-5277

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Nov 25, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

3151 Walbert Ave
Ste 301
Allentown, PA 18104
Phone (484) 526-1260

74 W Broad St
Ste 170
Bethlehem, PA 18018
Phone (484) 526-1260

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1581 N 9th St
Stroudsburg, PA 18360
Phone (272) 212-4490

Interoperability endpoints

  • Direct secure messaging: mpawka306901@direct-sluhn.org

Organizations & group practices 4

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.

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1467288233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W BROAD ST STE 170",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W BROAD ST STE 170",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185738",
            "telephone_number": "484-526-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWKA",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF OSTEOPATHIC MEDICINE",
            "identifier": "OA007006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF MEDICINE",
            "identifier": "MA065971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.