FATON BILALI MD
NPI 1023338019
Family Medicine in Bethlehem, PA

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
2300 HIGHLAND AVE, BETHLEHEM, PA 18020(610) 861-8080 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Faton Bilali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FATON BILALI MD (NPI 1023338019) is an individual family medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD446867) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1023338019
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFATON BILALICredential: MD
Location Address2300 HIGHLAND AVEBethlehem, PA 18020-8920
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 2, 2010
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1023338019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD446867
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2300 HIGHLAND AVE, Bethlehem, PA 18020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Faton Bilali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658527692
PECOS Enrollment IDI20120808000110
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Internal Medicine
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Dietitian, Registered
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Urology
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Physical Therapist
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Internal Medicine
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2300 HIGHLAND AVE
BETHLEHEM, PA 18020
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2300 HIGHLAND AVE
BETHLEHEM, PA 18020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faton Bilali's NPI number?

The NPI number for Faton Bilali is 1023338019. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Faton Bilali located?

Faton Bilali practices at 2300 Highland Ave, Bethlehem, PA 18020. The listed phone number is (610) 861-8080.

What is Faton Bilali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Faton Bilali enrolled in Medicare?

Yes. Faton Bilali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Faton Bilali affiliated with any hospitals?

According to CMS data, Faton Bilali is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Faton Bilali was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.