NPIMap

Individual provider Active NPI

Hetushma Patel, D.O

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1790096253
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT013729 Issued in PA
Practice address
3201 Highfield Dr Ste D
Bethlehem, PA 18020-1113
Phone
(610) 419-0923
Fax
(610) 419-0942
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 OT013729 PA Primary

Addresses

Primary practice location

3201 Highfield Dr Ste D
Bethlehem, PA 18020-1113

Mailing address

1605 N Cedar Crest Blvd Ste 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-4000

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
I20130912000160 PA Practitioner - Internal Medicine 4587808654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

3201 Highfield Dr
Bethlehem, PA 18020-1196
Phone (610) 868-0775

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013729PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2013 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince Dec 13, 2020 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
St. Luke'S Physician Group, Inc. Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Lehigh Valley Physician Group Internal Medicine PastSince Dec 6, 2020 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

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

3201 Highfield Dr
Bethlehem, PA 18020
Phone (610) 419-1536

3201 Highfield Dr
Ste D
Bethlehem, PA 18020
Phone (610) 419-0923

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

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

Interoperability endpoints

  • Direct secure messaging: hetushma.pateldo.p1@direct.secureehr.nextgenshare.com

Organizations & group practices 10

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1790096253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DR STE D",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201113",
            "telephone_number": "610-419-0923",
            "fax_number": "610-419-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "610-954-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HETUSHMA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT013729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.