DR. ORLANDO J PENALOZA M.D.
NPI 1083881585
Internal Medicine in Allentown, PA

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
17TH AND CHEW STREETS, SUITE 403, ALLENTOWN, PA 18104(610) 969-3600 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2024, Nov 25, 2015 (2 updates tracked since 2015).

About Dr. Orlando J Penaloza M.d. NPPES

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

DR. ORLANDO J PENALOZA M.D. (NPI 1083881585) is an individual internal medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD440584) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1083881585
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ORLANDO J PENALOZACredential: M.D.
Location Address17TH AND CHEW STREETS, SUITE 403Allentown, PA 18104
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 14, 2008
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1083881585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD440584
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17TH AND CHEW STREETS, Allentown, PA 18104

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

Dr. Orlando J Penaloza M.d. 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 ID3476749078
PECOS Enrollment IDI20101122000762
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

2

Medicare enrollment records show Orlando Penaloza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

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
Mental Health (Including Community Mental Health Center)
401 N 17TH ST STE 203
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 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.

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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$39.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
17TH AND CHEW STREETS, SUITE 101
ALLENTOWN, PA 18104
Social Worker (Clinical)
17TH AND CHEW STREETS, 3RD FLOOR
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 Orlando Penaloza's NPI number?

The NPI number for Orlando Penaloza is 1083881585. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Orlando Penaloza located?

Orlando Penaloza practices at 17th And Chew Streets Suite 403, Allentown, PA 18104. The listed phone number is (610) 969-3600.

What is Orlando Penaloza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Orlando Penaloza enrolled in Medicare?

Yes. Orlando Penaloza 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 Orlando Penaloza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orlando Penaloza reassigns Medicare benefits to 2 organizations: Valley Health Partners Community Health Center (Allentown, PA) and Lehigh Valley Physician Group (Allentown, PA). 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 Orlando Penaloza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Orlando Penaloza accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Orlando Penaloza 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 Orlando Penaloza affiliated with any hospitals?

According to CMS data, Orlando Penaloza is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Orlando Penaloza was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.