Individual provider Active NPI

Diana Bast, PA

  • Surgical Physician Assistant
  • Quakertown, PA
National Provider Identifier
1568657641
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA057632 Issued in PA
Practice address
1534 Park Ave
Suite 210
Quakertown, PA 18951-1084
Phone
(267) 424-8850
Fax
(215) 538-7907
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00181700 NJ
Surgical Physician Assistant 363AS0400X MA057632 PA Primary

Addresses

Primary practice location

1534 Park Ave
Suite 210
Quakertown, PA 18951-1084

Mailing address

1534 Park Ave
Suite 210
Quakertown, PA 18951-1084
Phone (267) 424-8850

Other identifiers 1

IdentifierTypeStateIssuer
140042NMSOtherNJMEDICARE PTAN

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
I20150930002263 PA Practitioner - Physician Assistant 4183786999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

1532 Park Ave
Quakertown, PA 18951-1048

1534 Park Ave
Quakertown, PA 18951-1086

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

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

2200 St Luke'S Blvd
Easton, PA 18045-5665

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

4275 County Line Rd
Chalfont, PA 18914-2212
Phone (267) 952-8120

501 Cetronia Rd
Allentown, PA 18104-9569

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 526-8142

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

701 Ostrum St
Fountain Hill, PA 18015-1153

Hospital & facility affiliations

  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00181700NJMDSurgical Physician Assistant
MA057632PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Sep 14, 2015 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 14, 2015 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

501 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2055

2200 St Lukes Blvd
Ste 100
Easton, PA 18045
Phone 4845261735 ext. 85413

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Ste 2
Fountain Hill, PA 18015
Phone (610) 954-1735

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

1534 Park Ave
Ste 210
Quakertown, PA 18951
Phone (267) 424-8850

Interoperability endpoints

  • Direct secure messaging: diana.bast@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 9

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1568657641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE",
            "address_2": "SUITE 210",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511084",
            "telephone_number": "267-424-8850",
            "fax_number": "215-538-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE",
            "address_2": "SUITE 210",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511084",
            "telephone_number": "267-424-8850",
            "fax_number": "215-538-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAST",
        "first_name": "DIANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00181700",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA057632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "140042NMS",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.