NPIMap

Individual provider Active NPI

Jeffrey Michael Hostetter, D.O.

  • Internal Medicine Physician
  • Coaldale, PA
National Provider Identifier
1700082658
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PAOS014181 Issued in PA
Practice address
360 W Ruddle St
Coaldale, PA 18218-1027
Phone
(484) 526-6643
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PAOS014181 PA Primary

Addresses

Primary practice location

360 W Ruddle St
Coaldale, PA 18218-1027

Mailing address

5265 Rockrose LN BLDG A11
Allentown, PA 18104-8239
Phone (484) 553-1768

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
I20090608000378 PA Practitioner - Internal Medicine 7315097698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2006
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)

1021 Park Ave
Quakertown, PA 18951-0130
Phone (215) 538-4500

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
PAOS014181PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Nov 4, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2014 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2014 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Past Accepting new patients
Sacred Heart Healthcare System Internal Medicine Past Accepting new patients

Locations

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

451 Chew St
Allentown, PA 18102
Phone (610) 799-7100

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

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

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

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

Interoperability endpoints

  • Direct secure messaging: jeffrey.hostetter@slpg.direct-sluhn.org

Organizations & group practices 6

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 8

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1700082658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 ROCKROSE LN BLDG A11",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048239",
            "telephone_number": "484-553-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W RUDDLE ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182181027",
            "telephone_number": "484-526-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "PAOS014181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coaldale, PA

Sources for this page

Verify at the official NPI Registry.