Active NPI
Robert B Kevitch, MD
- Plastic and Reconstructive Surgery Physician
- Allentown, PA
National Provider Identifier
1932188745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD031580E
- Practice address
- 250 Cetronia Rd
Suite 301
Allentown, PA 18104-9168 - Phone
- (610) 417-5778
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD031580E | PA | Primary |
Addresses
Primary practice location
250 Cetronia Rd
Suite 301
Allentown, PA 18104-9168
Mailing address
250 Cetronia Rd
Suite 301
Allentown, PA 18104-9168
Phone (610) 417-5778
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5822095 | Other | PA | CIGNA |
| 0438823000 | Other | PA | PERSONAL CHOICE |
| 50010616 | Other | PA | NCAS |
| 50035 | Other | PA | GEISINGER HEALTH PLAN |
| 126640 | Other | PA | MEDPLUS |
| 384482 | Other | PA | HEALTH AMERICA |
| 384482 | Other | PA | HEALTH ASSURANCE |
| 50010616 | Other | PA | KEYSTONE CENTRAL |
| 0438823000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 610768 | Other | PA | HIGHMARK BLUE SHIELD |
| P3159308 | Other | CT | OXFORD |
| 0014093800004 | Medicaid | PA | |
| 4450593 | Other | PA | AETNA |
| 50010616 | Other | PA | KEYSTONE SENIOR BLUE |
| 50010616 | Other | PA | CAPITAL BLUE CROSS |
| 820987 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Plastic and Reconstructive Surgery | Past | Accepting new patients |
| Altobelli MD PC | Plastic and Reconstructive Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Plastic and Reconstructive Surgery Physician
- Allentown, PA
- NPI 1992999262
-
- Plastic and Reconstructive Surgery Physician
- Bethlehem, PA
- NPI 1538314638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1932188745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CETRONIA RD",
"address_2": "SUITE 301",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-417-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CETRONIA RD",
"address_2": "SUITE 301",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-417-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEVITCH",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD031580E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5822095",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0438823000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCAS",
"identifier": "50010616",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "50035",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS",
"identifier": "126640",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "384482",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "384482",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL",
"identifier": "50010616",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0438823000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "610768",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3159308",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014093800004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4450593",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE SENIOR BLUE",
"identifier": "50010616",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50010616",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "820987",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.