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BIREN KISHOR JUTHANI D.O.
NPI 1245573302
Surgery in Allentown, PA

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
79.45/100
CMS Quality Rating
1941 HAMILTON ST STE 102, ALLENTOWN, PA 18104(484) 426-2900(484) 426-2907 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Aug 11, 2021 (2 updates tracked since 2021).

About Biren Kishor Juthani D.o. NPPES

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

BIREN KISHOR JUTHANI D.O. (NPI 1245573302) is an individual surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS021122) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1245573302
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBIREN KISHOR JUTHANICredential: D.O.
Location Address1941 HAMILTON ST STE 102Allentown, PA 18104-6470
Mailing Address1941 Hamilton St Ste 102Allentown, PA 18104-6470 · (484) 426-2900 · Fax (484) 426-2907
Phone(484) 426-2900
Fax(484) 426-2907
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1245573302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · OS021122
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1941 HAMILTON ST STE 102, Allentown, PA 18104
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Other Identifiers 1

OtherOS021122PA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Biren Kishor Juthani D.o. 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 ID9032409990
PECOS Enrollment IDI20210525001164
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

3

Medicare enrollment records show Biren Juthani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group Inc.
Same address
Obstetrics & Gynecology
1941 HAMILTON ST, SUITE 100
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1437541182 (610) 628-8910
St. Luke's Warren Physician Group, PC
18 mi
Colon & Rectal Surgery
123 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1043635733 (610) 866-2600
Family Care Centers Inc
32 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700

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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services32 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.
38 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services25 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.
21 services21 patients
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.
18 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

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.

TAYLOR N FARBER CRNP
Nurse Practitioner
1941 HAMILTON ST STE 102
ALLENTOWN, PA 18104
Lehigh County (484) 426-2900
DR. DANIEL R BAILLIE MD
Surgery
1941 HAMILTON ST STE 102
ALLENTOWN, PA 18104
Lehigh County (484) 426-2505
ST. LUKE'S PHYSICIAN GROUP, INC.
Surgery
1941 HAMILTON ST STE 102
ALLENTOWN, PA 18104
Lehigh County (484) 426-2900

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 Biren Juthani's NPI number?

The NPI number for Biren Juthani is 1245573302. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Biren Juthani located?

Biren Juthani practices at 1941 Hamilton St Ste 102, Allentown, PA 18104. The listed phone number is (484) 426-2900.

What is Biren Juthani's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Biren Juthani enrolled in Medicare?

Yes. Biren Juthani 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 Biren Juthani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Biren Juthani reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group Inc. (Allentown, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Family Care Centers Inc (East Stroudsburg, 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 Biren Juthani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Biren Juthani accept?

Health plans from Oscar Health list Biren Juthani 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 Biren Juthani affiliated with any hospitals?

According to CMS data, Biren Juthani is affiliated with St Lukes Quakertown Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Biren Juthani was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.