NPIMap

Individual provider Active NPI

Michael J Nimeh, D.O.

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1578500799
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-008599L Issued in PA
Practice address
2300 Highland Ave
Bethlehem, PA 18020-8920
Phone
(610) 861-8080
Fax
(610) 997-7172
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS-008599L PA Primary

Addresses

Primary practice location

2300 Highland Ave
Bethlehem, PA 18020-8920

Mailing address

2300 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080

Other identifiers 1

IdentifierTypeStateIssuer
0015798800009MedicaidPA

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
I20060601000117 PA Practitioner - Internal Medicine 2062423213 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1791 Airport Rd
Allentown, PA 18109-9528
Phone (484) 240-8195

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-008599LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Hospital CurrentSince May 19, 2012 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 12, 2021 Accepting new patients
Hazleton Professional Services Internal Medicine Current Accepting new patients
St. Luke'S Hospital CurrentSince May 19, 2012 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 11, 2022 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

3080 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (484) 661-4641

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1791 Airport Rd
Allentown, PA 18109
Phone (484) 240-8195

1503 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 871-9110

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

798 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (610) 336-8260

1650 Valley Ctr
Ste 100
Bethlehem, PA 18017

2775 Schoenersville Rd
Bethlehem, PA 18017

2300 Highland Ave
Bethlehem, PA 18020
Phone (610) 849-0691

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

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

1000 Alliance Dr
Hazleton, PA 18202
Phone (570) 501-6400

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 8

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1578500799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208920",
            "telephone_number": "610-861-8080",
            "fax_number": "610-997-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208920",
            "telephone_number": "610-861-8080",
            "fax_number": "610-997-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMEH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-008599L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015798800009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.