Individual provider Active NPI

Becky A Thomas-Creskoff, MD

  • Pediatrics Physician
  • Allentown, PA
National Provider Identifier
1972530111
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD422408 Issued in PA
Practice address
1611 Pond Rd
Allentown, PA 18104-2258
Phone
(610) 395-4300
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD422408 PA Primary

Addresses

Primary practice location

1611 Pond Rd
Allentown, PA 18104-2258

Mailing address

PO Box 1754
Allentown, PA 18105-1754

Other identifiers 1

IdentifierTypeStateIssuer
527066OtherPAHIGHMARK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071011000142 PA Practitioner - Pediatric MedicinePractitioner - General Practice 8527154251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Jenner Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

6900 Hamilton Blvd
Trexlertown, PA 18087-9101
Phone (610) 402-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD422408PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 17, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 17, 2017 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

1611 Pond Rd
Allentown, PA 18104
Phone (610) 395-4300

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

6900 Hamilton Blvd
Trexlertown, PA 18087
Phone (610) 402-0101

Interoperability endpoints

  • Direct secure messaging: bthomascreskoff11574@direct2.lvhn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1972530111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POND RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042258",
            "telephone_number": "610-395-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-CRESKOFF",
        "first_name": "BECKY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD422408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "527066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.