NPIMap

Individual provider Active NPI

Isabella U Alkasov, MD

  • Family Medicine Physician
  • Center Valley, PA
National Provider Identifier
1952376865
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD419824 Issued in PA
Practice address
5848 Old Bethlehem Pike
Suite # 101
Center Valley, PA 18034-9341
Phone
(610) 282-2155
Fax
(610) 282-2350
NPI assigned
Feb 22, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD419824 PA Primary

Addresses

Primary practice location

5848 Old Bethlehem Pike
Suite # 101
Center Valley, PA 18034-9341

Mailing address

5848 Old Bethlehem Pike
Suite 101
Center Valley, PA 18034-9341
Phone (610) 282-2155

Other identifiers 1

IdentifierTypeStateIssuer
0019241960003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000652 PA Practitioner - Family Practice 9830086610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

5848 Old Bethlehem Pike
Suite 101
Center Valley, PA 18034-9341
Phone (610) 282-2155

Hospital & facility affiliations

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD419824PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Oct 27, 2003 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Oct 27, 2003 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Hospital Past Accepting new patients
St. Luke's Hospital Past Accepting new patients

Locations

1648 Hamilton St
Ste 1
Allentown, PA 18102
Phone (610) 770-8380

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

5848 Old Bethlehem Pike
Ste 101
Center Valley, PA 18034
Phone (610) 282-2155

21 N Main St
Coopersburg, PA 18036
Phone (610) 282-4487

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

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1952376865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 OLD BETHLEHEM PIKE",
            "address_2": "SUITE 101",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349341",
            "telephone_number": "610-282-2155",
            "fax_number": "610-282-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 OLD BETHLEHEM PIKE",
            "address_2": "SUITE # 101",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349341",
            "telephone_number": "610-282-2155",
            "fax_number": "610-282-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKASOV",
        "first_name": "ISABELLA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD419824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019241960003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.