NPIMap

Individual provider Active NPI

Nina Knedler, MD

  • Family Medicine Physician
  • Kutztown, PA
National Provider Identifier
1720610058
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V4135 Issued in TX
Practice address
15065 Kutztown Rd Ste 400
Kutztown, PA 19530-9220
Phone
(484) 658-2801
Fax
(833) 705-2605
NPI assigned
Feb 5, 2020
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V4135 TX Primary
Family Medicine Physician 207Q00000X MD482669 PA

Addresses

Primary practice location

15065 Kutztown Rd Ste 400
Kutztown, PA 19530-9220

Mailing address

15065 Kutztown Rd Ste 400
Kutztown, PA 19530-9220
Phone (484) 658-2801

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
I20231005000067 PA Practitioner - Family Practice 4880049220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
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)

15065 Kutztown Rd
Suite 300
Kutztown, PA 19530-9276
Phone (484) 822-5155

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD482669PAMDFamily Medicine Physician
V4135TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Sep 6, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Sep 6, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

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

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

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

15065 Kutztown Rd
Ste 400
Kutztown, PA 19530
Phone (484) 658-2801

305 W North St
Nazareth, PA 18064
Phone (610) 759-2208

Interoperability endpoints

  • Direct secure messaging: nina.noghrehkar@slpg.direct-sluhn.org

Organizations & group practices 4

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 7

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1720610058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD STE 400",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309220",
            "telephone_number": "484-658-2801",
            "fax_number": "833-705-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD STE 400",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309220",
            "telephone_number": "484-658-2801",
            "fax_number": "833-705-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEDLER",
        "first_name": "NINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V4135",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD482669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

Verify at the official NPI Registry.