Individual provider Active NPI

Akiko Kawamura, M.D.

  • Pediatrics Physician
  • Easton, PA
National Provider Identifier
1699734004
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD421647 Issued in PA
Practice address
4807 Freemansburg Ave Ste 100
Easton, PA 18045-5522
Phone
(484) 591-7620
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD421647 PA Primary

Addresses

Primary practice location

4807 Freemansburg Ave Ste 100
Easton, PA 18045-5522

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

126 Market Way
Mt Pocono, PA 18344-3842
Phone (570) 839-3633

Other identifiers 1

IdentifierTypeStateIssuer
100831700MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akawamura80606@direct.geisinger.edu 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000976 PA Practitioner - Pediatric Medicine 0042102014 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD421647PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 17, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 11, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 11, 2024 Accepting new patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Geisinger Clinic CurrentSince Jul 17, 2017 Accepting new patients
Geisinger Clinic Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300

2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320

100 N Academy Ave
Danville, PA 17822

4807 Freemansburg Ave
Ste 100
Easton, PA 18045
Phone (484) 591-7620

4 Fork St
Mount Pocono, PA 18344
Phone (570) 839-3633

126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

101 W 7th St
Ste 2C
Pennsburg, PA 18073
Phone (215) 679-9321

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

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

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: akawamura80606@direct.geisinger.edu
  • Direct secure messaging: akawamura1157002@direct2.lvhn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1699734004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 FREEMANSBURG AVE STE 100",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455522",
            "telephone_number": "484-591-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Market Way",
            "address_purpose": "LOCATION",
            "city": "Mt Pocono",
            "state": "PA",
            "postal_code": "183443842",
            "country_code": "US",
            "telephone_number": "570-839-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAMURA",
        "first_name": "AKIKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD421647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100831700",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akawamura80606@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "126 Market Way",
            "city": "Mt Pocono",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183443842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.