Individual provider Active NPI

Shobhana Sandhu, DO

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1831713270
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS023023 Issued in PA
Practice address
250 Cetronia Rd Ste 115
Allentown, PA 18104-9168
Phone
(610) 395-0307
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT019864 PA
Family Medicine Physician 207Q00000X OS023023 PA Primary

Addresses

Primary practice location

250 Cetronia Rd Ste 115
Allentown, PA 18104-9168

Mailing address

1730 Chew St
Allentown, PA 18104-5549
Phone (610) 969-3500

Other practice location 1

1730 Chew St
Allentown, PA 18104-5549
Phone (610) 969-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003880 PA Practitioner - Family Practice 8527474584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
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)

250 Cetronia Rd
Suite 115
Allentown, PA 18104-9168
Phone (610) 395-0307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023023PAMDFamily Medicine Physician
OT019864PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine Current Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Nov 12, 2024 Accepting new patients
Family Care Centers Inc. Family Medicine CurrentSince Nov 12, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Nov 12, 2024 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 5, 2023 Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

250 Cetronia Rd
Ste 115
Allentown, PA 18104
Phone (610) 379-0443

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

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

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

Interoperability endpoints

  • Direct secure messaging: ssandhu417211@direct2.lvhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1831713270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045549",
            "telephone_number": "610-969-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD STE 115",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049168",
            "telephone_number": "610-395-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Chew St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045549",
            "country_code": "US",
            "telephone_number": "610-969-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "SHOBHANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT019864",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS023023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.