Enrique Mendiola Lirag, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MDO63607L Issued in PA

Practice address

1411 Union Blvd
Allentown, PA 18109-2423

Phone

(610) 433-6181

Fax

(610) 433-5124

NPI assigned

Sep 26, 2006

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Haven HouseGroup PAC ID 3476536780, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Haven House

  • Adult Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1689670507
  Medicare reassignment Care Compare group NPD
• Pocono Psychiatric Associates

  • Psychiatry Physician
  • East Stroudsburg, PA
  • NPI 1144709809
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Luke's Hospital

  dba St. Luke's Hospital-Sacred Heart Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital - Anderson Campus

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital-Lehighton Campus

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St. Luke's Hospital

  dba St. Luke's Hospital - Allentown Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke's Hospital Bethlehem

  dba St. Luke's Partial Hospitalization Program

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1932200219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "610-433-6181",
            "fax_number": "610-433-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "610-433-6181",
            "fax_number": "610-433-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRAG",
        "first_name": "ENRIQUE",
        "middle_name": "MENDIOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MDO63607L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008897740015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008897740001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Linskey, DMD
• Anthony J Liotta, PA-C
• Scott Lipkin, DPM
• Jay B Lipschutz
• Liquid Home Care Services LLC
• Lisa Ellis Psy.D
• Lisa S. Bunin, M.D. (Acuity Optical)
• Blaire Liscka, PA-C
• Emily Lisco, M.D.
• Kristen Lissenden, CRNP

• Psychiatry Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.