NPIMap

Individual provider Active NPI

Kailyn Irene Mann, D.O

  • Cardiovascular Disease Physician
  • Allentown, PA
National Provider Identifier
1619387412
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS017768 Issued in PA
Practice address
1255 S Cedar Crest Blvd Ste 3200
Allentown, PA 18103-6232
Phone
(610) 402-1364
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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 OT015649 PA
Cardiovascular Disease Physician 207RC0000X OS017768 PA Primary

Addresses

Primary practice location

1255 S Cedar Crest Blvd Ste 3200
Allentown, PA 18103-6232

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

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
I20200715000916 PA Practitioner - Cardiovascular Disease (Cardiology) 0840416376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
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

Practice addresses (Care Compare)

2649 Schoenersville Rd
Suite 301
Bethlehem, PA 18017-7332
Phone (610) 866-2233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015649PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 13, 2020 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince Jul 13, 2020 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Hospital Past 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

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

2100 Mack Blvd
Fl 4
Allentown, PA 18103

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3258

3900 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (484) 664-7555

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

2649 Schoenersville Rd
Ste 301
Bethlehem, PA 18017
Phone (484) 884-4799

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2401 Northampton St
Easton, PA 18045
Phone (484) 591-7555

2001 Fairview Ave
Easton, PA 18042
Phone (610) 258-4337

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1619387412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD STE 3200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036232",
            "telephone_number": "610-402-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "KAILYN",
        "middle_name": "IRENE",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015649",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS017768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.