PAOLA G BLANCO M.D.
NPI 1194759852
Internal Medicine - Gastroenterology in Allentown, PA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
1501 N CEDAR CREST BLVD, SUITE 110, ALLENTOWN, PA 18104(610) 821-2828 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2021, Nov 1, 2018 (2 updates tracked since 2018).

About Paola G Blanco M.d. NPPES

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

PAOLA G BLANCO M.D. (NPI 1194759852) is an individual gastroenterology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD437345) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194759852
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePAOLA G BLANCOCredential: M.D.
Location Address1501 N CEDAR CREST BLVD, SUITE 110Allentown, PA 18104-2309
Mailing Address1501 N Cedar Crest Blvd Ste 110Allentown, PA 18104-2309 · (610) 821-2828 · Fax (610) 821-7915
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
NPI 1194759852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD437345
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 228853 (MA)
1501 N CEDAR CREST BLVD, Allentown, PA 18104

Other Identifiers 1

Medicaid1023180680002PA

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

Paola G Blanco 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 ID9739227034
PECOS Enrollment IDI20091106000095
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 14

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.
146 services121 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
117 services115 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.
107 services89 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
73 services73 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
66 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services63 patients

Hospital Affiliations CMS Care Compare 4

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

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
1501 N CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18104
Social Worker (Clinical)
1501 N CEDAR CREST BLVD, SUITE 111
ALLENTOWN, PA 18104
Physician Assistant (Medical)
1501 N CEDAR CREST BLVD, 110
ALLENTOWN, PA 18104
Physician Assistant (Medical)
1501 N CEDAR CREST BLVD, SUITE110
ALLENTOWN, PA 18104
Internal Medicine (Gastroenterology)
1501 N CEDAR CREST BLVD, SUIT 110
ALLENTOWN, PA 18104
Internal Medicine (Gastroenterology)
1501 N CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18104
Clinic/Center (Ambulatory Surgical)
1501 N CEDAR CREST BLVD, SUITE 100
ALLENTOWN, PA 18104
Internal Medicine (Gastroenterology)
1501 N CEDAR CREST BLVD, SUITE 110
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 Paola Blanco's NPI number?

The NPI number for Paola Blanco is 1194759852. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Paola Blanco located?

Paola Blanco practices at 1501 N Cedar Crest Blvd Suite 110, Allentown, PA 18104. The listed phone number is (610) 821-2828.

What is Paola Blanco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paola Blanco enrolled in Medicare?

Yes. Paola Blanco 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 Paola Blanco affiliated with any hospitals?

According to CMS data, Paola Blanco is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Paola Blanco was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.