JOSE AVILA
NPI 1558567875
Internal Medicine - Nephrology in Allentown, PA

Q: What is Jose Avila's NPI number?

The NPI number for Jose Avila is 1558567875. It was assigned to this individual provider in the NPPES registry on June 24, 2007.

Q: What is Jose Avila's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jose Avila was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 24, 2007PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

1901 HAMILTON ST, SUITE 300, ALLENTOWN, PA 18104(610) 628-7920(610) 821-2853 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Jose Avila NPPES

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

JOSE AVILA (NPI 1558567875) is an individual nephrology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD446220) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1558567875

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJOSE AVILA

Location Address1901 HAMILTON ST, SUITE 300Allentown, PA 18104-6459

Mailing Address1901 Hamilton St, Suite 300Allentown, PA 18104-6459 · (610) 628-7920 · Fax (610) 821-2853

Phone(610) 628-7920

Fax(610) 821-2853

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 24, 2007

Last NPPES UpdateAugust 15, 2012

✔ NPI 1558567875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · MD446220

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1901 HAMILTON ST, Allentown, PA 18104

Open in Google Maps ↗

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

Jose Avila 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 ID5496895005

PECOS Enrollment IDI20091211000580, I20120821000519

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 13

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 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.

668 services260 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.

393 services257 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

108 services66 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

107 services102 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

81 services51 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

64 services11 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.

40 services40 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.

27 services25 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services17 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 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

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

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390162

Location250 South 21st StreetEaston, PA 18042 · Northampton 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.

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier15 claims1,110 services$0.33 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims780 services$0.53 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,200 services$0.21 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers24 claims24 services$18.15 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier16 claims30 services$12.64 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 15

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

NICOLE SAGL PT, DPT

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. DAWSON KENT KERCH DPT, PT

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DHAVAL SUREJA M.D.

Internal Medicine (Nephrology)

1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104

Lehigh County (610) 628-7920

NICHOLAS DESCHLER

Physical Therapist (Orthopedic)

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. MATTHEW KOVALCHICK DPT

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. SWOMYA PRAKASH BAL MD

Internal Medicine (Nephrology)

1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104

Lehigh County (610) 628-7920

ERIN DONOHUE

Physical Therapist

1901 HAMILTON ST
ALLENTOWN, PA 18104

Lehigh County (484) 426-2930

DR. SATYAM ARORA D.O.

Internal Medicine (Nephrology)

1901 HAMILTON ST, SUITE 300
ALLENTOWN, PA 18104

Lehigh County (610) 628-7920

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 Jose Avila's NPI number?

The NPI number for Jose Avila is 1558567875. It was assigned to this individual provider in the NPPES registry on June 24, 2007.

Where is Jose Avila located?

Jose Avila practices at 1901 Hamilton St Suite 300, Allentown, PA 18104. The listed phone number is (610) 628-7920.

What is Jose Avila's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jose Avila enrolled in Medicare?

Yes. Jose Avila 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 Jose Avila affiliated with any hospitals?

According to CMS data, Jose Avila is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Jose Avila was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.