Individual provider Active NPI

Elijah Kimutai Chumo, NP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1609384908
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026878 Issued in PA
Practice address
1250 S Cedar Crest Blvd Ste 205
Allentown, PA 18103-6271
Phone
(610) 402-9116
NPI assigned
Jan 21, 2018
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP026878 PA
Family Nurse Practitioner 363LF0000X F342461-1 NY
Family Nurse Practitioner 363LF0000X SP026878 PA Primary
Family Nurse Practitioner 363LF0000X SP018364 PA
Gerontology Nurse Practitioner 363LG0600X SP026878 PA
Registered Nurse 163W00000X RN623561 PA

Addresses

Primary practice location

1250 S Cedar Crest Blvd Ste 205
Allentown, PA 18103-6271

Mailing address

6007 Palomino Dr
Allentown, PA 18106-3603
Phone (585) 415-5057

Other practice location 1

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Other practice location 2

6007 Palomino Dr
Allentown, PA 18106-3603
Phone (585) 415-5057

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tclark251628@phsdirect.pinnaclehealth.org Direct

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
I20190617001276 PA Practitioner - Nurse Practitioner 3375808058 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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)

1250 S Cedar Crest Blvd
205 LVPG Pulmonary and Critical Care Medici
Allentown, PA 18103-6224
Phone (610) 439-8856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
73.71

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN623561PAMDRegistered Nurse
F342461-1NYMDFamily Nurse Practitioner
SP018364PAMDFamily Nurse Practitioner
SP026878PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Dec 15, 2021 Accepting new patients
Lehigh Valley Physician Group Single Specialty CurrentSince Jun 19, 2025 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 15, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 4, 2023 Accepting new patients
Lehigh Valley Physician Group Single Specialty Current Accepting new patients
Tower Health Medical Group Single Specialty Current Accepting new patients
Pottstown Clinic Company LLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Phoenixville Clinic Company LLC Single Specialty CurrentSince Dec 15, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 4, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Dec 15, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 19, 2025 Accepting new patients
Phoenixville Clinic Company LLC Single Specialty Current Accepting new patients
Pinnacle Health Medical Services Single Specialty Current Accepting new patients
Pulmonary Associates PC Single Specialty Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116

2100 Mack Blvd
Fl 4
Allentown, PA 18103

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: echumo35729@direct2.lvhn.org
  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

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": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1609384908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 PALOMINO DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063603",
            "telephone_number": "585-415-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD STE 205",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036271",
            "telephone_number": "610-402-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6007 Palomino Dr",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181063603",
            "country_code": "US",
            "telephone_number": "585-415-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUMO",
        "first_name": "ELIJAH",
        "middle_name": "KIMUTAI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-21",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP026878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342461-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026878",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018364",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026878",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN623561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tclark251628@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.