Individual provider Active NPI

Robert Leo Wellner, DO

  • Anesthesiology Physician
  • Bethlehem, PA
National Provider Identifier
1790862977
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS011916 Issued in PA
Practice address
1461 Colesville Rd
Bethlehem, PA 18015-5221
Phone
(610) 442-7807
Fax
(609) 895-1032
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB07771400 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X OS011916 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A8689 CA
Anesthesiology Physician 207L00000X OS011916 PA Primary

Addresses

Primary practice location

1461 Colesville Rd
Bethlehem, PA 18015-5221

Mailing address

1461 Colesville Rd
Bethlehem, PA 18015-5221
Phone (610) 442-7807

Other identifiers 22

IdentifierTypeStateIssuer
0094463MedicaidNJ
22-1994560OtherPADEVON
50065555OtherKEYSTONE HEALTH PLAN CENTRAL
50078774OtherPACAPITAL BLUE CROSS
7441837OtherPAAETNA
22-1994560OtherPAHEALTH AMERICA/HEALTH ASSURANCE
2797879000OtherAMERIHEALTH
4729920OtherCIGNA HEALTHCARE
P00448881OtherRAILROAD MEDICARE
P00661480OtherPARAILROAD MEDICARE
2261859OtherUNITED HEALTHCARE
2797879000OtherINDEPENDENCE BLUE CROSS
50065555OtherCAPITAL BLUE CROSS
50078774OtherPAKEYSTONE HEALTH PLAN CENTRAL
107840OtherGEISINGER HEALTH PLAN
1537403OtherGATEWAY HEALTH PLAN
22-1994560OtherPAFIRST MCO
22-1994560OtherPAPROCURA MANAGEMENT
113861400OtherPADEPARTMENT OF LABOR
1928843OtherHIGHMARK BLUE SHIELD
22-1994560OtherPAUNITED HEALTHCARE
2797879000OtherKEYSTONE HEALTH PLAN EAST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041013000721 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 7214997303 Reassigns benefits to 8 organizations
I20070228000189 PA Practitioner - AnesthesiologyPractitioner - Pain Management 7214997303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Anesthesia Services LLCGroup PAC ID 5294268272, 2 clinicians
New Jersey Anesthesia Services LLCGroup PAC ID 0143610279, 5 clinicians
Apollo Medical Group of Pennsylvania LLCGroup PAC ID 4486180049, 21 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

1011 US Hwy 22
Suite 203
Bridgewater, NJ 08807-2979
Phone (908) 756-2424

20 Commerce Dr
Suite 135
Cranford, NJ 07016-3614
Phone (888) 589-8550

2851 Baglyos Cir
Suite 100
Bethlehem, PA 18020-8038
Phone (484) 821-0550

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8689CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Anesthesia Associates, P.C. Anesthesiology CurrentSince Apr 11, 2023 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jun 15, 2023 Accepting new patients
Physician Anesthesia Services LLC Pain Medicine CurrentSince Sep 5, 2024 Accepting new patients
Campus Eye Group, LLC Current Accepting new patients
Campus Eye Group, LLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
New Jersey Anesthesia Services LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Campus Eye Group ASC, LLC Current Accepting new patients
Apollo Medical Group of Pennsylvania LLC Anesthesiology CurrentSince Dec 2, 2024 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Jul 1, 2023 Accepting new patients
Performance Medical Group of Somerset CurrentSince Jul 1, 2023 Accepting new patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Ridley Crossings Surgical Center Past Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Sep 15, 2019 Accepting new patients
Cooper Physician Offices, PA Past Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

1011 US Highway 22
Bridgewater, NJ 08807

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900

1912 State Route 35
Ste 201
Oakhurst, NJ 07755
Phone (732) 389-5004

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

2851 Baglyos Cir
Ste 100
Bethlehem, PA 18020
Phone (484) 821-0550

1553 Chester Pike
Ste 102
Crum Lynne, PA 19022
Phone (484) 487-0369

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1790862977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 COLESVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180155221",
            "telephone_number": "610-442-7807",
            "fax_number": "609-895-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 COLESVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180155221",
            "telephone_number": "610-442-7807",
            "fax_number": "609-895-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLNER",
        "first_name": "ROBERT",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB07771400",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS011916",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A8689",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS011916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094463",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "50065555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50078774",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7441837",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2797879000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "4729920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00448881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00661480",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2261859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2797879000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50065555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "50078774",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "107840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1537403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MCO",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCURA MANAGEMENT",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "113861400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1928843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22-1994560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2797879000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.