Individual provider Active NPI

Dipesh Pravin Patel, M.D

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1689995276
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD469374 Issued in PA
Practice address
1627 Chew St
Allentown, PA 18102-3648
Phone
(610) 969-3390
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT197450 PA
Family Medicine Physician 207Q00000X MD469374 PA Primary
Family Medicine Physician 207Q00000X 0101254191 VA

Addresses

Primary practice location

1627 Chew St
Allentown, PA 18102-3648

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

2215 Landover Pl
Lynchburg, VA 24501-2115
Phone (434) 947-3944

Other practice location 2

2450 Butler St
Easton, PA 18042-5303
Phone (610) 991-3136

Other identifiers 1

IdentifierTypeStateIssuer
1689995276MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200123001094 PA Practitioner - Family PracticePractitioner - HospitalistPractitioner - Geriatric Medicine 1850534405 Reassigns benefits to 4 organizations
I20231115001850 NJ Practitioner - Family Practice 1850534405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

250 S 21St St
Easton, PA 18042-3851

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

360 W Riddle St
Coaldale, PA 18218-1027

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT197450PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Gslpg, Inc CurrentSince Nov 1, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 1, 2023 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Nov 4, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Dec 15, 2019 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Dec 15, 2019 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Nov 4, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 1, 2023 Accepting new patients
Cedar Crest Operator LLC Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

2450 Butler St
Easton, PA 18042
Phone (610) 991-3136

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: dipesh.patel@slpg.direct-sluhn.org
  • Direct secure messaging: paexchange@patientfirstclinics.com

Organizations & group practices 12

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.

Hospital & facility affiliations 11

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1689995276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023648",
            "telephone_number": "610-969-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Landover Pl",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245012115",
            "country_code": "US",
            "telephone_number": "434-947-3944",
            "fax_number": "866-617-8273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Butler St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180425303",
            "country_code": "US",
            "telephone_number": "610-991-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPESH",
        "middle_name": "PRAVIN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT197450",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD469374",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101254191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689995276",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2450 Butler St",
            "city": "Easton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180425303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.