NPIMap

Individual provider Active NPI

Edmond Obeid, MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1508871070
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD429693 Issued in PA
Practice address
1720 W. Fairmount St
Allentown, PA 18104
Phone
(610) 841-2798
Fax
(610) 841-2796
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD429693 PA Primary

Addresses

Primary practice location

1720 W. Fairmount St
Allentown, PA 18104

Mailing address

1605 N Cedar Crest Blvd Ste 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Other practice location 1

951 N 4th St
Allentown, PA 18102-1852
Phone (610) 434-8801

Other identifiers 6

IdentifierTypeStateIssuer
50062407OtherCBC
1017873020001MedicaidPA
P008401OtherGATEWAY
001902866OtherHIGHMARK BLUE SHIELD
2769924000OtherIBC
20056021OtherAMERIHEALTH MERCY HEALTH

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
I20061010000052 PA Practitioner - Family Practice 2860498128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
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)

1720 W Fairmont St
Allentown, PA 18104-3118
Phone (610) 841-2798

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

281 N 12TH St
LVPG Vascular Surgery
Lehighton, PA 18235-1101
Phone (610) 402-9400

281 N 12TH St B
Lehighton, PA 18235-1101
Phone (610) 377-7793

281 N 12TH St F
LVPG Obstetrics and Gynecology
Lehighton, PA 18235-1101
Phone (610) 377-5959

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2019 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

1720 W Fairmont St
Allentown, PA 18104
Phone (484) 788-4991

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

2100 Mack Blvd
Fl 4
Allentown, PA 18103

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

Interoperability endpoints

  • Direct secure messaging: edmond.obeidmd.p1@direct.secureehr.nextgenshare.com

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 and National Provider Directory roles.

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1508871070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W. FAIRMOUNT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-841-2798",
            "fax_number": "610-841-2796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181021852",
            "country_code": "US",
            "telephone_number": "610-434-8801",
            "fax_number": "610-433-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBEID",
        "first_name": "EDMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD429693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "50062407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017873020001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P008401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001902866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2769924000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH",
            "identifier": "20056021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.