Individual provider Active NPI

Jacob Alan Troutman, D.O.

  • Pediatric Hematology & Oncology Physician
  • Allentown, PA
National Provider Identifier
1538301890
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
OS017648 Issued in PA
Practice address
1210 S Cedar Crest Blvd Ste 1000
Allentown, PA 18103
Phone
(610) 402-1026
Fax
(610) 402-2499
NPI assigned
Apr 1, 2009
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X OS017648 PA Primary

Addresses

Primary practice location

1210 S Cedar Crest Blvd Ste 1000
Allentown, PA 18103

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1210 S Cedar Crest Blvd Ste 1000
Allentown, PA 18103
Phone (610) 402-1026

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
I20150924000624 PA Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 1153548243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
University of New England, College of Osteo Medicine, 2009
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)

2545 Schoenersville Rd
FL 3
Bethlehem, PA 18017-7300
Phone (484) 884-3333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince May 6, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 6, 2019 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2015 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

1210 S Cedar Crest Blvd
Ste 1000
Allentown, PA 18103
Phone (610) 402-1026

2545 Schoenersville Rd
Fl 3
Bethlehem, PA 18017
Phone (484) 884-3333

100 N Academy Ave
Danville, PA 17822

620 University Ave
Selinsgrove, PA 17870
Phone (570) 372-0536

Interoperability endpoints

  • Direct secure messaging: jtroutman331320@direct2.lvhn.org

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1538301890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S CEDAR CREST BLVD STE 1000",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-402-1026",
            "fax_number": "610-402-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 S Cedar Crest Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "18103",
            "country_code": "US",
            "telephone_number": "610-402-1026",
            "fax_number": "610-402-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "JACOB",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PA",
            "license": "OS017648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.