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DR. ADAM MICHAEL DONNELLY M.D.
NPI 1457794018
Pediatrics in Allentown, PA

Active since April 14, 2013PECOS Enrolled
1627 CHEW ST, ALLENTOWN, PA 18102(610) 969-4300(610) 969-4332 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2019, Aug 9, 2016 (2 updates tracked since 2016).

About Dr. Adam Michael Donnelly M.d. NPPES

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

DR. ADAM MICHAEL DONNELLY M.D. (NPI 1457794018) is an individual pediatrics provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD458717) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457794018
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ADAM MICHAEL DONNELLYCredential: M.D.
Location Address1627 CHEW STAllentown, PA 18102-3648
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(610) 969-4300
Fax(610) 969-4332
Sole ProprietorNo
Enumeration DateApril 14, 2013
Last NPPES UpdateApril 1, 20192 updates tracked since enumeration
✔ NPI 1457794018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD458717
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1627 CHEW ST, Allentown, PA 18102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Michael Donnelly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Adam Donnelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Obstetrics & Gynecology
1627 W CHEW ST
Allentown, PA 18102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1245329317 (610) 969-1600
Valley Health Partners Community Health Center
Same address
Federally Qualified Health Center (FQHC)
1627 CHEW ST FL 1
Allentown, PA 18102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group
NPI 1396371118 (610) 969-2800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18102 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
$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.

SHALYN HOUSER MSN, WHNP-BC
Nurse Practitioner (Women's Health)
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 402-1600
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Internal Medicine (Geriatric Medicine)
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 969-3390
JILLIAN MORGAN
Nurse Practitioner (Family)
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 402-1600
MRS. STEPHANIE IRENE GREGORY CRNP
Nurse Practitioner (Family)
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 969-3390
KELLY J ZARNAS CRNP
Nurse Practitioner (Family)
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 969-4300
HAYLEY ELIZABETH GIBSON DO
Obstetrics & Gynecology
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 402-1600
DR. EILEEN P. SIMAK D.O.
Internal Medicine (Geriatric Medicine)
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 969-3390
DR. ALEXIS MARIE ALEXANDER DMD
Dentist
1627 CHEW ST
ALLENTOWN, PA 18102
Lehigh County (610) 969-3955

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 Adam Donnelly's NPI number?

The NPI number for Adam Donnelly is 1457794018. It was assigned to this individual provider in the NPPES registry on April 14, 2013.

Where is Adam Donnelly located?

Adam Donnelly practices at 1627 Chew St, Allentown, PA 18102. The listed phone number is (610) 969-4300.

What is Adam Donnelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adam Donnelly enrolled in Medicare?

Yes. Adam Donnelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Donnelly's services?

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

What insurance does Adam Donnelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Adam Donnelly 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.

When was this NPI record last updated?

The NPPES record for Adam Donnelly was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.