Individual provider Active NPI

Melanie A Koehler, MD

  • Pediatrics Physician
  • Tamaqua, PA
National Provider Identifier
1740244755
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD057285L Issued in PA
Practice address
143 N Railroad St
Tamaqua, PA 18252-1330
Phone
(570) 645-1930
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 MD057285L PA Primary

Addresses

Primary practice location

143 N Railroad St
Tamaqua, PA 18252-1330

Mailing address

143 N Railroad St
Tamaqua, PA 18252-1330
Phone (706) 451-9305

Other identifiers 1

IdentifierTypeStateIssuer
1007423240006MedicaidPA

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
I20210818002574 PA Practitioner - Pediatric Medicine 7911302625 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD057285LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Aug 4, 2025 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Star Community Health, Inc CurrentSince Aug 4, 2025 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Aug 16, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 16, 2021 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

77 S Commerce Way
Bethlehem, PA 18017
Phone (484) 526-2538

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

143 N Railroad St
Tamaqua, PA 18252
Phone (570) 645-1540

Interoperability endpoints

  • Direct secure messaging: melanie.koehler@slpg.direct-sluhn.org

Organizations & group practices 9

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1740244755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521330",
            "telephone_number": "706-451-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521330",
            "telephone_number": "570-645-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "MELANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD057285L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007423240006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

Verify at the official NPI Registry.