NPIMap

Individual provider Active NPI

Diana Elizabeth Farrell-Grossman, D.O.

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1821359688
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS019836 Issued in PA
Practice address
325 W Broad St
Bethlehem, PA 18018
Phone
(484) 626-9200
Fax
(610) 867-8499
NPI assigned
Jun 7, 2012
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS11692 FL
Internal Medicine Physician 207R00000X OS019836 PA Primary

Addresses

Primary practice location

325 W Broad St
Bethlehem, PA 18018

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 862-3295

Other practice location 1

21097 NE 27th Ct
Suite 110
Aventura, FL 33180-1204
Phone (305) 682-8809

Other practice location 2

21097 NE 27th Ct
Suite 110
Aventura, FL 33180-1204
Phone (305) 682-8809

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
I20190503001233 PA Practitioner - Internal Medicine 7315197506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
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)

325 W Broad St
LVPG Internal Medicine
Bethlehem, PA 18018-5526
Phone (484) 626-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11692FLMDInternal Medicine Physician
OS019836PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Apr 8, 2019 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 8, 2019 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

325 W Broad St
Bethlehem, PA 18018
Phone (484) 626-9200

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

Interoperability endpoints

  • Direct secure messaging: dfarrellgrossman329850@direct2.lvhn.org

Organizations & group practices 5

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 7

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1821359688",
    "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": "484-862-3295",
            "fax_number": "484-664-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18018",
            "telephone_number": "484-626-9200",
            "fax_number": "610-867-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21097 NE 27th Ct",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801204",
            "country_code": "US",
            "telephone_number": "305-682-8809",
            "fax_number": "305-682-8806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21097 NE 27th Ct",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801204",
            "country_code": "US",
            "telephone_number": "305-682-8809",
            "fax_number": "305-682-8806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL-GROSSMAN",
        "first_name": "DIANA",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11692",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.