Active NPI
Elijah Kimutai Chumo, NP
- Family Nurse Practitioner
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP026878
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 74.13
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 78.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.7 of 100
- Quality
- 76.12
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.71
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 73.34
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 78.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN623561 | PA | MD | Registered Nurse |
| F342461-1 | NY | MD | Family Nurse Practitioner |
| SP018364 | PA | MD | Family Nurse Practitioner |
| SP026878 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Single Specialty | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | 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 | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Single Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | 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
- echumo35729@direct2.lvhn.org
- 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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Single Specialty
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Single Specialty
-
dba Emergency Medicine Pottstown Tower Health Medical Group
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Single Specialty
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
Single Specialty
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
Single Specialty
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Single Specialty
-
dba LVPG Family and Internal Medicine - Alliance Drive
- Internal Medicine Physician
- Hazleton, PA
- NPI 1871357202
-
dba Telemedicine Phoenixville Tower Health Medical Group
- Neurology Physician
- Phoenixville, PA
- NPI 1275173957
-
dba Phoenixville Surgical Associates
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
Single Specialty
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba Sports Medicine of Central PA-UPMC
- Sports Medicine (Family Medicine) Physician
- Harrisburg, PA
- NPI 1821408261
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
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
- CHS Professional Practice, P.C. (Coordinated Health-Cardiology)
- CHS Professional Practice, P.C. (Coordinated Health Primary Care-Allentown)
- Chun Chu, M.D.
- Craig M Chuhran, MD
- Chum Outreach Services LLC
- Don Y Chung, M.D.
- Gwendolyn Sarver Chung, M.D.
- Heiwon Chung, MD
- Johnny S Chung, MD
- Yoonjie Chung, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.