St. Luke's Physician Group, Inc.

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

St. Luke's Pediatric Nephrology

Practice address

834 Eaton Ave Ste 301
Bethlehem, PA 18018-1832

Phone

(484) 526-7780

Fax

(833) 816-7518

NPI assigned

May 10, 2019

Last updated

May 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. LUKE'S PHYSICIAN GROUP, INC.As reported in NPPES

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

Authorized official

Name

Dean Evans

Title

President

Phone

(484) 526-4999

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's Pediatric Nephrology Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Saucon Valley Family PR

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert B Doll Jr., M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Allentown, PA
  • NPI 1043203375
  NPD
• Nancy J. Eisenhauer, PA-C

  • Physician Assistant
  • Center Valley, PA
  • NPI 1326015918
  NPD
• Kristan Nicole Faneck, PAC

  • Physician Assistant
  • Allentown, PA
  • NPI 1245448513
  NPD
• Robbie S Hicks

  • Medical Physician Assistant
  • Fountain Hill, PA
  • NPI 1346782182
  NPD
• Daniel Hodges

  • Anatomic Pathology & Clinical Pathology Physician
  • Bethlehem, PA
  • NPI 1346772191
  NPD
• Denny John, MD

  • Neurology Physician
  • Hershey, PA
  • NPI 1568422848
  NPD
• Diana Victorovna Kovalev, DNP

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1558117747
  NPD
• Jessica Ketty Nalepka, PA-C

  • Physician Assistant
  • Fountain Hill, PA
  • NPI 1902315716
  NPD
• Natalie Piger, PA

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1235688748
  NPD
• Nitasa Sahu

  • Internal Medicine Physician
  • Hershey, PA
  • NPI 1548673585
  NPD
• Harneel Saini, DO

  • Neurology Physician
  • Sellersville, PA
  • NPI 1811450505
  NPD
• Pandi Todhe

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1801399324
  NPD

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1790341212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EATON AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7780",
            "fax_number": "833-816-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 EATON AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7780",
            "fax_number": "833-816-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-526-4999"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Pediatric Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Medical Toxicology)
• St. Luke's Physician Group, Inc. (St. Luke's Center for Perioperative Medicine)
• St. Luke's Physician Group, Inc. (South Mountain Family Practice)
• St. Luke's Physician Group, Inc. (St. Luke's Emergency Physician Specialists)
• St. Luke's Physician Group, Inc. (Willam Penn Family Practice Center)
• St. Luke's Physician Group, Inc. (St. Luke's Pediatric Critical Care Associates)
• St. Luke's Physician Group, Inc. (St. Luke's Center for Urology)
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc.

• Pediatric Nephrology Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Pediatric Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.