GUILLERMO ANTONIO DE LA VEGA MD
NPI 1083780761
Obstetrics & Gynecology in Allentown, PA

Active since November 27, 2006PECOS EnrolledAccepts Medicare Assignment
1611 POND ROAD, SUITE 401, ALLENTOWN, PA 18104(610) 398-7700(610) 398-6917 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2023, Jan 31, 2017 (2 updates tracked since 2017).

About Guillermo Antonio De La Vega Md NPPES

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

GUILLERMO ANTONIO DE LA VEGA MD (NPI 1083780761) is an individual obstetrics & gynecology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD429959) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083780761
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGUILLERMO ANTONIO DE LA VEGACredential: MD
Location Address1611 POND ROAD, SUITE 401Allentown, PA 18104
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 398-6917
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 27, 2006
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1083780761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD429959
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1611 POND ROAD, Allentown, PA 18104

Other Identifiers 1

Medicaid108650KZKPA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guillermo Antonio De La Vega 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 ID5294737037
PECOS Enrollment IDI20070208000134
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Guillermo De La Vega reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1605 N CEDAR CREST BLVD, SUITE 110B
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
400 N 17TH ST STE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group
Internal Medicine
700 EAST BROAD STREET
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 305 clinicians in this Medicare group
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
Primary Care
30 W SWARTZVILLE RD
Reinholds, PA 17569
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
Neurology
333 COTTMAN AVE
Philadelphia, PA 19111
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
16 services16 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
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 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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 3

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

Obstetrics & Gynecology (Gynecologic Oncology)
1611 POND ROAD, SUITE 101 LEHIGH VALLEY WOMENS CANCER CENTER
ALLENTOWN, PA 18104
Registered Nurse (Registered Nurse First Assistant)
1611 POND ROAD, SUITE 101 LEHIGH VALLEY WOMENS CANCER CENTER
ALLENTOWN, PA 18104
Obstetrics & Gynecology (Gynecology)
1611 POND ROAD, SUITE 101
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 Guillermo De La Vega's NPI number?

The NPI number for Guillermo De La Vega is 1083780761. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Guillermo De La Vega located?

Guillermo De La Vega practices at 1611 Pond Road Suite 401, Allentown, PA 18104. The listed phone number is (610) 398-7700.

What is Guillermo De La Vega's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Guillermo De La Vega enrolled in Medicare?

Yes. Guillermo De La Vega 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.

Which organizations bill Medicare for Guillermo De La Vega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo De La Vega reassigns Medicare benefits to 7 organizations: Lehigh Valley Physician Group (Allentown, PA), Valley Health Partners Community Health Center (Allentown, PA), Hazleton Professional Services (Hazleton, PA), Family Care Centers Inc (East Stroudsburg, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guillermo De La Vega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guillermo De La Vega accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Guillermo De La Vega as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Guillermo De La Vega affiliated with any hospitals?

According to CMS data, Guillermo De La Vega is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Guillermo De La Vega was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.