NPIMap

Individual provider Active NPI

John T Pilla

  • Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1548929359
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025019 Issued in PA
Practice address
1521 8TH Ave Ste 201
Bethlehem, PA 18018-1893
Phone
(484) 526-2598
Fax
(866) 522-4710
NPI assigned
Dec 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025019 PA Primary

Addresses

Primary practice location

1521 8TH Ave Ste 201
Bethlehem, PA 18018-1893

Mailing address

1521 8TH Ave Ste 201
Bethlehem, PA 18018-1893
Phone (484) 526-2598

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
I20220406000571 PA Practitioner - Nurse Practitioner 2860888575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (272) 639-4990

120 Pine St
Tamaqua, PA 18252-1409

1521 8TH Ave
Bethlehem, PA 18018-1893

1528 8TH Ave
Suite 101
Bethlehem, PA 18018-1893
Phone (610) 865-8077

5018 Medical Ctr Cir
Allentown, PA 18106-9661

614 Delaware Ave
Palmerton, PA 18071-2003

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Gslpg, Inc CurrentSince Apr 1, 2022 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Jan 1, 2022 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

1521 8th Ave
Ste 201
Bethlehem, PA 18018
Phone (610) 882-2598

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

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

614B Delaware Ave
Palmerton, PA 18071
Phone (484) 822-5850

143 N Railroad St
Tamaqua, PA 18252
Phone (570) 645-1540

Interoperability endpoints

  • Direct secure messaging: john.pilla@slpg.direct-sluhn.org

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 10

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1548929359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "484-526-2598",
            "fax_number": "866-522-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "484-526-2598",
            "fax_number": "866-522-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLA",
        "first_name": "JOHN",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.