Individual provider Active NPI

Carmen E Diaz-Burney, M.D.

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1780756429
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD064269L Issued in PA
Practice address
1107 Eaton Ave
Bethlehem, PA 18018-1862
Phone
(484) 526-2400
Fax
(484) 526-3697
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 209355-1 NY
Psychiatry Physician 2084P0800X MD064269L PA Primary

Addresses

Primary practice location

1107 Eaton Ave
Bethlehem, PA 18018-1862

Mailing address

451 Chew St Ste 101
Allentown, PA 18102-3412
Phone (484) 838-6380

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
I20080214000380 PA Practitioner - Psychiatry 0345202560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
209355-1NYMDPsychiatry Physician
MD064269LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Psychiatry CurrentSince Feb 4, 2008 Accepting new patients
Penn Foundation Inc CurrentSince Jul 1, 2022 Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 4, 2008 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients

Locations

451 Chew St
Ste 101
Allentown, PA 18102
Phone (800) 560-7077

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

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

807 Lawn Ave
Sellersville, PA 18960

Interoperability endpoints

  • Direct secure messaging: carmen.diaz-burney@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1780756429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 CHEW ST STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023412",
            "telephone_number": "484-838-6380",
            "fax_number": "484-838-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181862",
            "telephone_number": "484-526-2400",
            "fax_number": "484-526-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-BURNEY",
        "first_name": "CARMEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "209355-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD064269L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.