NPIMap

Individual provider Active NPI

Bonnie Patek, DO

  • Gastroenterology Physician
  • Allentown, PA
National Provider Identifier
1588074355
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS017905 Issued in PA
Practice address
1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone
(610) 821-2828
Fax
(610) 821-7915
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT015900 PA
Gastroenterology Physician 207RG0100X OS017905 PA Primary

Addresses

Primary practice location

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309

Mailing address

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone (443) 799-6938

Other identifiers 1

IdentifierTypeStateIssuer
103308450003MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL email
Direct Messaging Address bonniepatek@epgi.allscriptsdirect.net

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
I20200611000236 PA Practitioner - Gastroenterology 9133345671 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2014
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
Valley Health Partners Community Health CenterGroup PAC ID 4284065327, 121 clinicians

Practice addresses (Care Compare)

300 Lackawanna Ave
Suite 200
Scranton, PA 18503-2001
Phone (570) 342-7864

400 N 17TH St
Allentown, PA 18104-5052

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015900PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc. Internal Medicine Current Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince Dec 28, 2022 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 28, 2022 Accepting new patients
Eastern Pennsylvania Gastroenterology & Liver Specialists P C Gastroenterology CurrentSince Aug 3, 2020 Accepting new patients
Family Care Centers Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1255 S Cedar Crest Blvd
Ste 3200
Allentown, PA 18103
Phone (610) 402-1364

1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

175 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3401

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

3780 Hecktown Rd
Easton, PA 18045
Phone (484) 561-6593

3701 Corriere Rd
Ste 17
Easton, PA 18045
Phone (610) 821-2828

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

300 Lackawanna Ave
Ste 200
Scranton, PA 18503
Phone (570) 342-7864

Interoperability endpoints

  • Direct secure messaging: bpatek11455@direct2.lvhn.org

Organizations & group practices 10

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 12

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1588074355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD STE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "443-799-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD STE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEK",
        "first_name": "BONNIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015900",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS017905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103308450003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "1501 N Cedar Crest Blvd Ste 110",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181042309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonniepatek@epgi.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1501 N Cedar Crest Blvd Ste 110",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181042309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.