Active NPI
Nishi Dedania, MD
- Internal Medicine Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD482478
- Practice address
- 325 W Broad St FL 1
Bethlehem, PA 18018-5526 - Phone
- (484) 626-9200
- NPI assigned
- Mar 27, 2014
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16251 | RI | |
| Internal Medicine Physician | 207R00000X | ME148211 | FL | |
| Internal Medicine Physician | 207R00000X | MD482478 | PA | Primary |
| Pediatrics Physician | 208000000X | 281622 | MA | |
| Pediatrics Physician | 208000000X | ME148211 | FL | |
| Pediatrics Physician | 208000000X | MD482478 | PA |
Addresses
Primary practice location
325 W Broad St FL 1
Bethlehem, PA 18018-5526
Mailing address
1150 NW 14TH St FL 4
Miami, FL 33136-2137
Other practice location 1
245 Chapman St Ste 100
Providence, RI 02905-4539
Phone (401) 444-6118
Other practice location 2
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Other practice location 3
593 Eddy St
Providence, RI 02903
Phone (401) 444-6195
Other practice location 4
1150 NW 14th St Fl 4
Miami, FL 33136-2137
Phone (305) 343-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
325 W Broad St
LVPG Internal Medicine
Bethlehem, PA 18018-5526
Phone (484) 626-9200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME148211 | FL | MD | Internal Medicine Physician |
| MD482478 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Internal Medicine | Current | Accepting new patients |
| Valley Health Partners Community Health Center | Current | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients |
Locations
1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388
1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800
2100 Mack Blvd
Fl 4
Allentown, PA 18103
325 W Broad St
Bethlehem, PA 18018
Phone (484) 626-9200
325 W Broad St
Fl 1
Bethlehem, PA 18018
Phone (484) 626-9200
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Interoperability endpoints
- ndedania48267@direct.southcoast.org
- ndedania840678@direct2.lvhn.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba VHP - Lehigh Valley Physicians Practice
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1932735651
-
dba LVPG Pediatric Neonatology
- Neonatal-Perinatal Medicine Physician
- Allentown, PA
- NPI 1205910593
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Internal Medicine
-
dba VHP- Center for Women's Medicine
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1770118648
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1952728966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 NW 14TH ST FL 4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W BROAD ST FL 1",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185526",
"telephone_number": "484-626-9200"
}
],
"practiceLocations": [
{
"address_1": "245 Chapman St Ste 100",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029054539",
"country_code": "US",
"telephone_number": "401-444-6118",
"fax_number": "401-444-8804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02903",
"country_code": "US",
"telephone_number": "401-444-6195",
"fax_number": "401-444-6378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 NW 14th St Fl 4",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331362137",
"country_code": "US",
"telephone_number": "305-343-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEDANIA",
"first_name": "NISHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16251",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME148211",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD482478",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "281622",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME148211",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD482478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.