NPIMap

Individual provider Active NPI

Babak Bozorgnia, M.D

  • Clinical Cardiac Electrophysiology Physician
  • Allentown, PA
National Provider Identifier
1790914299
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD435191 Issued in PA
Practice address
1250 S Cedar Crest Blvd
Suite 300
Allentown, PA 18103-6224
Phone
(610) 402-3110
Fax
(610) 402-3112
NPI assigned
Jul 7, 2009
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD435191 PA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD435191 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd
Suite 300
Allentown, PA 18103-6224

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

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
I20130502000352 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 9931255353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Temple University School of Medicine, 2002
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)

1569 Medical Dr
Suite 202
Pottstown, PA 19464-3223
Phone (610) 402-3110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Aug 10, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 20, 2013 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Cardiovascular Disease CurrentSince Aug 10, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 20, 2013 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2019 Accepting new patients
Hazleton Professional Services CurrentSince Mar 1, 2019 Accepting new patients
Naples Heart Rhythm Specialists PA Clinical Cardiac Electrophysiology Past Accepting new patients

Locations

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1250 S Cedar Crest Blvd
Ste 300
Allentown, PA 18103
Phone (610) 402-8275

1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388

2100 Mack Blvd
Fl 4
Allentown, PA 18103

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

50 Moisey Dr
Ste 103
Hazle Township, PA 18202
Phone (570) 501-1033

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1569 Medical Dr
Ste 202
Pottstown, PA 19464
Phone (484) 948-3860

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Interoperability endpoints

  • Direct secure messaging: bbozorgnia11736@direct2.lvhn.org
  • FHIR API: https://api.platform.athenahealth.com/25641/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1790914299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD",
            "address_2": "SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036224",
            "telephone_number": "610-402-3110",
            "fax_number": "610-402-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZORGNIA",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD435191",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD435191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.