NPIMap

Individual provider Active NPI

Michael Patriarco, D.O.

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1598860850
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS005237L Issued in PA
Practice address
250 Cetronia Rd
Suite 305
Allentown, PA 18104-9147
Phone
(484) 223-3279
Fax
(484) 223-3279
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS005237L PA Primary

Addresses

Primary practice location

250 Cetronia Rd
Suite 305
Allentown, PA 18104-9147

Mailing address

250 Cetronia Rd
Suite 305
Allentown, PA 18104-9147
Phone (484) 223-3279

Other identifiers 1

IdentifierTypeStateIssuer
001261370MedicaidPA

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
I20060309000443 PA Practitioner - Obstetrics/Gynecology 0547277956 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

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

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

240 Cetronia Rd
Allentown, PA 18104-9263

240 Cetronia Rd 205
St Luke'S Weight Management Center
Allentown, PA 18104-9263
Phone (484) 426-2600

240 Cetronia Rd 210a
St Lukes Neurology Associates
Allentown, PA 18104-9263
Phone (484) 426-2626

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

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
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Nov 4, 2019 Accepting new patients
St. Luke'S Hospital Obstetrics & Gynecology Current Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2006 Accepting new patients
Star Community Health, Inc CurrentSince Mar 2, 2019 Accepting new patients
Star Community Health, Inc CurrentSince Mar 2, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 1, 2006 Accepting new patients
St. Luke'S Hospital CurrentSince Oct 13, 2010 Accepting new patients
St. Luke'S Hospital Past Accepting new patients
St. Luke'S Hospital Past Accepting new patients

Locations

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

250 Cetronia Rd
Ste 305
Allentown, PA 18104
Phone (484) 223-3279

240 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2670

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

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

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

Interoperability endpoints

  • Direct secure messaging: michael.patriarco@slpg.direct-sluhn.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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1598860850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD",
            "address_2": "SUITE 305",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "telephone_number": "484-223-3279",
            "fax_number": "484-223-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD",
            "address_2": "SUITE 305",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "telephone_number": "484-223-3279",
            "fax_number": "484-223-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIARCO",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS005237L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001261370",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.