NPIMap

Individual provider Active NPI

Reena V Kanabar, M.D.

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
National Provider Identifier
1811150568
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD441568 Issued in PA
Practice address
325 W Broad St
3Rd Floor
Bethlehem, PA 18018-5526
Phone
(484) 626-9250
Fax
(484) 686-9255
NPI assigned
Jul 2, 2008
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT192571 PA
Obstetrics & Gynecology Physician 207V00000X MD441568 PA Primary

Addresses

Primary practice location

325 W Broad St
3Rd Floor
Bethlehem, PA 18018-5526

Mailing address

PO Box 1754
Allentown, PA 18105-1754
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
I20120924000075 PA Practitioner - Obstetrics/Gynecology 4385892983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1245 S Cedar Crest Blvd
201 LVPG Obstetrics and Gynecology
Allentown, PA 18103-6258
Phone (610) 402-4870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT192571PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital CurrentSince Aug 11, 2012 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 25, 2014 Accepting new patients
St Luke's Hospital CurrentSince Aug 11, 2012 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
St. Luke's Hospital Obstetrics & Gynecology Current Accepting new patients
Valley Health Partners Community Health Center Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 25, 2014 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

325 W Broad St
Fl 3
Bethlehem, PA 18018
Phone (484) 626-9250

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

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

Interoperability endpoints

  • Direct secure messaging: rkanabar11770@direct2.lvhn.org

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

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1811150568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W BROAD ST",
            "address_2": "3RD FLOOR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "484-626-9250",
            "fax_number": "484-686-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANABAR",
        "first_name": "REENA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT192571",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD441568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.