NPIMap

Individual provider Active NPI

Waleska Joanne Cancel-Kenyon, M.D.

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1992039432
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD447949 Issued in PA
Practice address
501 Cetronia Rd
Suite 120
Allentown, PA 18104-9569
Phone
(484) 426-2520
Fax
(484) 426-2570
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD447949 PA Primary
Obstetrics & Gynecology Physician 207V00000X 070462 GA

Addresses

Primary practice location

501 Cetronia Rd
Suite 120
Allentown, PA 18104-9569

Mailing address

501 Cetronia Rd
Suite 120
Allentown, PA 18104-9569
Phone (484) 426-2520

Other identifiers 2

IdentifierTypeStateIssuer
070462OtherGASTATE OF GEORGIA
23-1352213OtherPAST LUKES

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
I20150618001416 PA Practitioner - Obstetrics/Gynecology 3971745142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group Inc 2,161 clinicians

Practice addresses (Care Compare)

120 Pine St
Tamaqua, PA 18252-1409

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

2550 Route 100
Macungie, PA 18062-9600

451 Chew St
Allentown, PA 18102-3472
Phone (484) 526-2400

501 Cetronia Rd
Allentown, PA 18104-9569

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 526-8142

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

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
070462GAMDRegistered Nurse
MD447949PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Hospital CurrentSince Jun 1, 2015 Accepting new patients
Star Community Health, Inc CurrentSince Mar 2, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2015 Accepting new patients
St. Luke'S Hospital CurrentSince Jun 1, 2015 Accepting new patients
Star Community Health, Inc CurrentSince Mar 2, 2019 Accepting new patients
St. Luke'S Hospital Obstetrics & Gynecology Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 1, 2015 Accepting new patients
Southern Crescent Women'S Healthcare PC Obstetrics & Gynecology CurrentSince Aug 1, 2013 Accepting new patients
St. Luke'S Hospital Past Accepting new patients
Women'S Community Care, PC PastSince Aug 1, 2013 Accepting new patients

Locations

1279 Highway 54 W
Ste 220
Fayetteville, GA 30214
Phone (770) 991-2200

1837 W Linden St
Allentown, PA 18104
Phone (610) 628-8400

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

501 Cetronia Rd
Ste 120
Allentown, PA 18104
Phone (484) 426-2520

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

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

281 N 12th St
Ste A
Lehighton, PA 18235
Phone (610) 377-3221

Interoperability endpoints

  • Direct secure messaging: waleska.cancel-kenyon@slpg.direct-sluhn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1992039432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD",
            "address_2": "SUITE 120",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-426-2520",
            "fax_number": "484-426-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD",
            "address_2": "SUITE 120",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-426-2520",
            "fax_number": "484-426-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCEL-KENYON",
        "first_name": "WALESKA",
        "middle_name": "JOANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD447949",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "070462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA",
            "identifier": "070462",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LUKES",
            "identifier": "23-1352213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.