NPIMap

Individual provider Active NPI

Kyle Matthew Weiss, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Allentown, PA
National Provider Identifier
1902219702
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS019831 Issued in PA
Practice address
501 Cetronia Rd Ste 125
Allentown, PA 18104-9569
Phone
(484) 526-7246
Fax
(866) 291-6192
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS019831 PA Primary

Addresses

Primary practice location

501 Cetronia Rd Ste 125
Allentown, PA 18104-9569

Mailing address

501 Cetronia Rd Ste 125
Allentown, PA 18104-9569
Phone (484) 526-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190206003035 NJ Practitioner - Physical Medicine and Rehabilitation 3870831415 Reassigns benefits to 2 organizations
I20190805002520 PA Practitioner - Physical Medicine and Rehabilitation 3870831415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

501 Cetronia Rd
Suite 125
Allentown, PA 18104-9569
Phone (484) 526-6000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS019831PAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 16, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Community Hospital Group Inc Current Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Physician Group, Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Community Hospital Group, Inc CurrentSince Dec 19, 2018 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 16, 2019 Accepting new patients
Community Hospital Group, Inc. CurrentSince Dec 19, 2018 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

501 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2055

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

Interoperability endpoints

  • Direct secure messaging: kyle.weiss@slpg.direct-sluhn.org

Organizations & group practices 9

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 10

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1902219702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD STE 125",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-526-7246",
            "fax_number": "866-291-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD STE 125",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-526-7246",
            "fax_number": "866-291-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "OS019831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.