Individual provider Active NPI

C William Riedel, D.O.

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1629066923
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS009291L Issued in PA
Practice address
1941 W Hamilton St
Suite 100
Allentown, PA 18104-6470
Phone
(610) 432-4665
Fax
(610) 432-8512
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 OS009291L PA Primary

Addresses

Primary practice location

1941 W Hamilton St
Suite 100
Allentown, PA 18104-6470

Mailing address

1941 W Hamilton St
Suite 100
Allentown, PA 18104-6470
Phone (610) 432-4665

Other identifiers 2

IdentifierTypeStateIssuer
0017558430005MedicaidPA
026537OtherPAMEDICARE GROUP B

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000326 PA Practitioner - Obstetrics/Gynecology 3072566553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
Star Community Health, Inc CurrentSince Mar 2, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Apr 15, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Apr 15, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Mar 2, 2019 Accepting new patients

Locations

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

1941 Hamilton St
Ste 100
Allentown, PA 18104
Phone (610) 432-4665

1941 Hamilton St
Allentown, PA 18104
Phone (610) 865-0311

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

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

450 Chew St
Ste 101
Allentown, PA 18102
Phone (610) 776-4565

322 S 17th St
Allentown, PA 18104
Phone (610) 434-4015

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

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

Interoperability endpoints

  • Direct secure messaging: cwilliam.riedel@slpg.direct-sluhn.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1629066923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 W HAMILTON ST",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046470",
            "telephone_number": "610-432-4665",
            "fax_number": "610-432-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 W HAMILTON ST",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046470",
            "telephone_number": "610-432-4665",
            "fax_number": "610-432-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "C",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS009291L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017558430005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP B",
            "identifier": "026537",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.