NPIMap

Organization Active NPI

Valley Pain Specialists PC

  • Interventional Pain Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1972557023
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
VALLEY PAIN SPECIALISTS PC
Practice address
4250 Fritch Dr
Bethlehem, PA 18020-9412
Phone
(610) 954-9040
Fax
(610) 954-9093
NPI assigned
May 22, 2006
Last updated
Apr 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Dr. Steven Allie Mortazavi, MDNPI 1902805252
Title
President
Phone
(610) 954-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

4250 Fritch Dr
Bethlehem, PA 18020-9412

Mailing address

4250 Fritch Dr
Bethlehem, PA 18020-9412
Phone (610) 954-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031217000393 PA Part B Supplier - Clinic/Group Practice 4082511100 Receives reassigned benefits from 22 practitioners
Practice locations: Allentown, PA; Bethlehem, PA
O20110506000665 PA DME Supplier - Physician - General Practice 4082511100 Practice locations: Bethlehem, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2020655Valley Pain Specialists PC4250 Fritch Drive, Bethlehem, PA 18020Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

4415 Innovation Way
Allentown, PA 18109
Phone (610) 704-0010

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1972557023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209412",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209412",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PAIN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "MORTAZAVI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-954-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.