Individual provider Active NPI

Olalekan Lanre Showunmi

  • Medical Physician Assistant
  • Fogelsville, PA
National Provider Identifier
1710601315
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064160 Issued in PA
Practice address
1431 Nursery St Ste 101B
Fogelsville, PA 18051-1612
Phone
(610) 336-8260
NPI assigned
Sep 28, 2022
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA064160 PA Primary

Addresses

Primary practice location

1431 Nursery St Ste 101B
Fogelsville, PA 18051-1612

Mailing address

3210 Pebble Run Dr
Dover, PA 17315-5202
Phone (215) 279-4065

Other practice location 1

2201 Brunswick Dr Ste 1200
Hanover, PA 17331-8350
Phone (717) 637-0470

Other practice location 2

700 High St
Williamsport, PA 17701-3100
Phone (570) 531-1570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oshowunmi250263@phsdirect.pinnaclehealth.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628000885 PA Practitioner - Physician Assistant 5799143442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1337 Blue Valley Dr
Pen Argyl, PA 18072-1815

1431 Nursery St
Fogelsville, PA 18051-1612

1791 Airport Rd
Allentown, PA 18109-9528
Phone (484) 240-8195

2101 Emerick Blvd
100 LVPG Family and Internal Medicine
Bethlehem, PA 18020-8040
Phone (610) 868-4000

2741 Macarthur Rd
Whitehall, PA 18052-3632
Phone (610) 434-9561

320 W Pumping Station Rd
Quakertown, PA 18951-2345

320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240

3701 Corriere Rd
Easton, PA 18045-7991

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 900-4950

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

6451 Village LN
Macungie, PA 18062-8484
Phone (610) 967-2772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 7, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 15, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 15, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 7, 2025 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2201 Brunswick Dr
Ste 1200
Hanover, PA 17331
Phone (717) 316-3645

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1710601315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 PEBBLE RUN DR",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173155202",
            "telephone_number": "215-279-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NURSERY ST STE 101B",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511612",
            "telephone_number": "610-336-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Brunswick Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173318350",
            "country_code": "US",
            "telephone_number": "717-637-0470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 High St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013100",
            "country_code": "US",
            "telephone_number": "570-531-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWUNMI",
        "first_name": "OLALEKAN",
        "middle_name": "LANRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oshowunmi250263@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2201 Brunswick Dr Ste 1200",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173318350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

Verify at the official NPI Registry.