SHANNON ZULLO MD
NPI 1053936799
Dermatology in Allentown, PA

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
3151 WALBERT AVE STE 301, ALLENTOWN, PA 18104(484) 503-7546 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Jun 12, 2020 (2 updates tracked since 2020).

About Shannon Zullo Md NPPES

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

SHANNON ZULLO MD (NPI 1053936799) is an individual dermatology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD491482) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of University Of Arizona College Of Medicine (2020).

NPPES Registry Identity

NPI1053936799
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHANNON ZULLOCredential: MD
Location Address3151 WALBERT AVE STE 301Allentown, PA 18104-6630
Mailing Address3151 Walbert Ave Ste 301Allentown, PA 18104-6630 · (484) 503-7546
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2020
Enumeration DateJune 9, 2020
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1053936799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD491482
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3151 WALBERT AVE STE 301, Allentown, PA 18104

Other Names 1

Former Name (1)Ms. Shannon Renee Watson

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

Shannon Zullo 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 ID4183046741
PECOS Enrollment IDI20251008000848
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 2

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

Physician Assistant
3151 WALBERT AVE STE 301
ALLENTOWN, PA 18104
Dermatology
3151 WALBERT AVE STE 301
ALLENTOWN, PA 18104

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 Shannon Zullo's NPI number?

The NPI number for Shannon Zullo is 1053936799. It was assigned to this individual provider in the NPPES registry on June 9, 2020. The provider is also known as Ms. Shannon Renee Watson.

Where is Shannon Zullo located?

Shannon Zullo practices at 3151 Walbert Ave Ste 301, Allentown, PA 18104. The listed phone number is (484) 503-7546.

What is Shannon Zullo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shannon Zullo enrolled in Medicare?

Yes. Shannon Zullo 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 Shannon Zullo affiliated with any hospitals?

According to CMS data, Shannon Zullo is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Shannon Zullo was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.