Individual provider Active NPI

Susan Angelisanti, M.D.

  • Obstetrics & Gynecology Physician
  • Kutztown, PA
National Provider Identifier
1891790572
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD072027L Issued in PA
Practice address
333 Normal Ave
Kutztown, PA 19530-1640
Phone
(610) 683-5522
NPI assigned
Jun 17, 2005
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD072027L PA Primary

Addresses

Primary practice location

333 Normal Ave
Kutztown, PA 19530-1640

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Other identifiers 8

IdentifierTypeStateIssuer
1545407OtherPAGATEWAY
000000222335-HBPOtherPAUNISON
2451692000OtherPAINDEPENDENCE BLUE CROSS
20064465OtherPAMERCY
1014183360001MedicaidPA
000000222333-PCPOtherPAUNISON
001769844OtherPAHIGHMARK
50070801OtherPACAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL

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
I20050622000696 PA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 0446295224 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Washington University School of Medicine, 1998
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)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

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

1431 Nursery St
Fogelsville, PA 18051-1612

1611 Pond Rd
Allentown, PA 18104-2258

1627 Chew St
Allentown, PA 18102-3648
Phone (610) 969-2226

1627 W Chew St 3Rd FL
LVPG Mental Health Clinic 17TH St
Allentown, PA 18102-3648
Phone (610) 402-1155

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

320 W Pumping Station Rd
Quakertown, PA 18951-2345

320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240

333 Normal Ave
Kutztown, PA 19530-1640

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2016 Accepting new patients
Family Care Centers Inc CurrentSince Dec 22, 2023 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Family Care Centers Inc. Obstetrics & Gynecology CurrentSince Dec 22, 2023 Accepting new patients
Lancaster General Hospital Obstetrics & Gynecology CurrentSince Apr 1, 2014 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Valley Health Partners Community Health Center Obstetrics & Gynecology Current Accepting new patients
Comprehensive Women's Health Services, P.C. Obstetrics & Gynecology PastSince Aug 1, 1996 Accepting new patients
Lehigh Valley Hospital 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

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

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

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

1107 Grosser Rd
Ste 200
Gilbertsville, PA 19525

333 Normal Ave
Kutztown, PA 19530
Phone (610) 683-5522

333 Normal Ave
Ste 202
Kutztown, PA 19530

171 Red Horse Rd
Ste 1
Pottsville, PA 17901
Phone (570) 628-2229

6900 Hamilton Blvd
Trexlertown, PA 18087
Phone (610) 402-0101

6900 Hamilton Blvd
#A
Trexlertown, PA 18087

Interoperability endpoints

  • Direct secure messaging: sangelisanti131862@direct2.lvhn.org

Organizations & group practices 12

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 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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1891790572",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NORMAL AVE",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301640",
            "telephone_number": "610-683-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELISANTI",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD072027L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1545407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000222335-HBP",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2451692000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "20064465",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014183360001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000222333-PCP",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001769844",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "50070801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

Verify at the official NPI Registry.