Organization Active NPI

Lehigh Gastroenterology Associates

  • Gastroenterology Physician
  • Lehighton, PA
National Provider Identifier
1619961018
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD055983-L Issued in PA
Legal business name
LEHIGH GASTROENTEROLOGY ASSOCIATES
Practice address
204 State Rd
Lehighton, PA 18235-2827
Phone
(610) 379-0443
Fax
(610) 379-4725
NPI assigned
Aug 31, 2005
Last updated
Feb 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Dr. Ahmed M Hasan, MDNPI 1477548865
Title
Doctor
Phone
(610) 379-0443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD055983-L PA Primary

Addresses

Primary practice location

204 State Rd
Lehighton, PA 18235-2827

Mailing address

204 State Rd
Lehighton, PA 18235-2827
Phone (610) 379-0443

Other identifiers 1

IdentifierTypeStateIssuer
001552330002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000028 PA Part B Supplier - Clinic/Group Practice 0547247447 Receives reassigned benefits from 9 practitioners
Practice locations: Lehighton, PA; New Tripoli, PA; Allentown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1030091Lehigh Gastroenterology204 State Road, Lehighton, PA 18235Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Locations

204 State Rd
Lehighton, PA 18235
Phone (610) 377-6225

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1619961018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "610-379-0443",
            "fax_number": "610-379-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "610-379-0443",
            "fax_number": "610-379-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-379-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD055983-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001552330002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.