Christie L Razavi, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Wind Gap, PA
NPI 1841452307 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1841452307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- MD466032 (PA)
- Practice address
- 1411 Jacobsburg Rd
Wind Gap, PA 18091-9788 - Phone
- (610) 452-3000
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
1243 S Cedar Crest Blvd
2800 LVPG Endocrinology
Allentown, PA 18103-6230
Phone (610) 402-6790
Hospital & facility affiliations
- Lehigh Valley Hospital
- Lehigh Valley Hospital - Pocono
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181109000422 | PA | Practitioner - Internal Medicine |
2668647264 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036139120 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| MD466032 | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
| PENDING | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
1243 S Cedar Crest Blvd
Ste 2800
Allentown, PA 18103
Phone (610) 402-6790
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
2775 Schoenersville Rd
Bethlehem, PA 18017
2300 Highland Ave
Bethlehem, PA 18020
Phone (610) 849-0691
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
1411 Jacobsburg Rd
Wind Gap, PA 18091
Phone (484) 861-0493
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036139120 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | PENDING | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD466032 | PA | Yes |
Addresses
Primary practice location
1411 Jacobsburg Rd
Wind Gap, PA 18091-9788
Mailing address
3435 Winchester Rd
Allentown, PA 18104-2268
Phone (610) 861-8080
Other practice location 1
2300 Highland Ave
Bethlehem, PA 18020
Phone (610) 861-8080
Other providers in Wind Gap, PA
- Plainfield Township Volunteer Fire Co
- Kira Marie Pokrivsak
- Mark Wright Powell
- Progressive Pain Solutions LLC
- Amulia Rai
- Alison Roll
- Vijeta Sareen
- Zachary Savercool
- Jessica Schreck
- Harneet Sethi
All providers in Wind Gap, PA · Endocrinology, Diabetes & Metabolism Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.