BENJAMIN SANCHEZ JR. MD
NPI 1659369536
Internal Medicine - Cardiovascular Disease in Allentown, PA

Q: What is Benjamin Sanchez's NPI number?

The NPI number for Benjamin Sanchez is 1659369536. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Benjamin Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Sanchez was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 13, 2005PECOS EnrolledAccepts Medicare Assignment

1250 S CEDAR CREST BLVD, SUITE 300, ALLENTOWN, PA 18103(610) 402-3110(610) 402-3112 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Benjamin Sanchez Jr. Md NPPES

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

BENJAMIN SANCHEZ JR. MD (NPI 1659369536) is an individual cardiovascular disease provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD064967L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Rutgers New Jersey Medical School (1995).

NPPES Registry Identity

NPI1659369536

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameBENJAMIN SANCHEZ JR.Credential: MD

Location Address1250 S CEDAR CREST BLVD, SUITE 300Allentown, PA 18103-6224

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311

Phone(610) 402-3110

Fax(610) 402-3112

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1995

Enumeration DateOctober 13, 2005

Last NPPES UpdateNovember 24, 2015

✔ NPI 1659369536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD064967L

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1250 S CEDAR CREST BLVD, Allentown, PA 18103

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Sanchez Jr. Md 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 ID7012813827

PECOS Enrollment IDI20031211000661

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 26

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 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.

239 services211 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.

219 services155 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

218 services218 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.

129 services125 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

126 services121 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.

97 services76 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

92 services44 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

61 services61 patients

Ambulatory blood pressure monitoring, 1 day or longer, with review, interpretation and report 93790

Ambulatory blood pressure monitoring is a non-invasive process where your blood pressure is checked regularly over 24 hours or more while you go about your daily activities. The data collected is then reviewed, interpreted, and reported to provide an accurate picture of your blood pressure behavior.

61 services61 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

27 services27 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

27 services26 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.

24 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

19 services19 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.

19 services19 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.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

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

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

14 services14 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

14 services13 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

14 services13 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

14 services13 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.

14 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services12 patients

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

12 services11 patients

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.

12 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390030

Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill 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

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 - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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

$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.

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.

JESSICA MARY BOEHMLER MD

Internal Medicine (Critical Care Medicine)

1250 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103

Lehigh County (610) 439-8856

LEHIGH VALLEY PHYSICIAN GROUP

Psychiatry & Neurology (Psychiatry)

1250 S CEDAR CREST BLVD, SUITE 410
ALLENTOWN, PA 18103

Lehigh County (610) 402-3500

VSAS ORTHOPAEDICS PC

Occupational Therapist

1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103

Lehigh County (610) 435-1003

MISS LINDSEY R. REYES PA-C

Physician Assistant (Medical)

1250 S CEDAR CREST BLVD, STE 300
ALLENTOWN, PA 18103

Lehigh County (610) 402-3110

ANDREW BERNER CRNP

Nurse Practitioner (Family)

1250 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

Lehigh County (610) 402-2273

JAMES A BURKE MD

Internal Medicine (Interventional Cardiology)

1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103

Lehigh County (610) 402-3110

MR. JAMES BAGLEY PA-C

Physician Assistant (Medical)

1250 S CEDAR CREST BLVD, STE 205
ALLENTOWN, PA 18103

Lehigh County (610) 439-8856

ADAM B. EDWARDS MD

Psychiatry & Neurology (Neurocritical Care)

1250 S CEDAR CREST BLVD, SUITE 405
ALLENTOWN, PA 18103

Lehigh County (610) 402-8420

SORAYA E JIMENEZ M.D.

Psychiatry & Neurology (Epilepsy)

1250 S CEDAR CREST BLVD, SUITE 405
ALLENTOWN, PA 18103

Lehigh County (610) 402-8420

CHERI ALISSA SILVERSTEIN FADLON M.D.

Internal Medicine (Cardiovascular Disease)

1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103

Lehigh County (610) 402-3110

MICHAEL CHEUNG M.D.

Internal Medicine (Cardiovascular Disease)

1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103

Lehigh County (610) 402-3110

MITCHELL E COOPER M.D.

Orthopaedic Surgery (Sports Medicine)

1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103

Lehigh County (610) 435-1003

JONATHAN HERTZ MD

Internal Medicine (Pulmonary Disease)

1250 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103

Lehigh County (610) 402-9116

DR. ALISSA EILEEN ROMANO D.O.

Psychiatry & Neurology (Neurology)

1250 S CEDAR CREST BLVD, SUITE 4-5
ALLENTOWN, PA 18103

Lehigh County (610) 402-8420

JILL SPOTTS

Physician Assistant (Medical)

1250 S CEDAR CREST BLVD, STE 400
ALLENTOWN, PA 18103

Lehigh County (610) 402-6555

ELIZABETH A WARING CRNP

Nurse Practitioner (Family)

1250 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

Lehigh County (610) 402-8506

JOSEPH P KLEAVELAND M.D.

Internal Medicine (Cardiovascular Disease)

1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103

Lehigh County (610) 402-3110

PHILIP DOLCEMASCOLO JR. PA

Physician Assistant (Medical)

1250 S CEDAR CREST BLVD, SUITE 310
ALLENTOWN, PA 18103

Lehigh County (610) 402-6890

JUDITH CHERMANSKY CRNP

Nurse Practitioner (Acute Care)

1250 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103

Lehigh County (610) 439-8856

SLADE RANKIN

Physician Assistant (Medical)

1250 S CEDAR CREST BLVD, STE 210
ALLENTOWN, PA 18103

Lehigh County (610) 402-6986

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 Benjamin Sanchez's NPI number?

The NPI number for Benjamin Sanchez is 1659369536. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Benjamin Sanchez located?

Benjamin Sanchez practices at 1250 S Cedar Crest Blvd Suite 300, Allentown, PA 18103. The listed phone number is (610) 402-3110.

What is Benjamin Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Benjamin Sanchez enrolled in Medicare?

Yes. Benjamin Sanchez 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.

What insurance does Benjamin Sanchez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Benjamin Sanchez 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 Benjamin Sanchez affiliated with any hospitals?

According to CMS data, Benjamin Sanchez is affiliated with Schuylkill Medical Center - South Jackson Street, St Luke's Hospital Bethlehem, Lehigh Valley Hospital and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for Benjamin Sanchez was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.