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J. NATHAN HAGSTROM MD
NPI 1720052368
Pediatrics - Pediatric Hematology-Oncology in Bethlehem, PA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
2545 SHOENERSVILLE ROAD, 3RD FLOOR, BETHLEHEM, PA 18017(610) 969-2540(610) 969-3074 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J. Nathan Hagstrom Md NPPES

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

J. NATHAN HAGSTROM MD (NPI 1720052368) is an individual pediatric hematology-oncology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD054176L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1992).

NPPES Registry Identity

NPI1720052368
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameJ. NATHAN HAGSTROMCredential: MD
Location Address2545 SHOENERSVILLE ROAD, 3RD FLOORBethlehem, PA 18017
Mailing AddressPo Box 1754Allentown, PA 18105-1754 · (484) 884-4500 · Fax (484) 884-0699
Phone(610) 969-2540
Fax(610) 969-3074
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1992
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1720052368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in PA · MD054176L✔ Licensed in CT · 036909
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
2545 SHOENERSVILLE ROAD, Bethlehem, PA 18017
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Other Identifiers 1

Medicaid001369091CT

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

J. Nathan Hagstrom 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 ID6305906298
PECOS Enrollment IDI20140807000202
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.

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 J. Hagstrom's NPI number?

The NPI number for J. Hagstrom is 1720052368. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is J. Hagstrom located?

J. Hagstrom practices at 2545 Shoenersville Road 3rd Floor, Bethlehem, PA 18017. The listed phone number is (610) 969-2540.

What is J. Hagstrom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is J. Hagstrom enrolled in Medicare?

Yes. J. Hagstrom 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.

When was this NPI record last updated?

The NPPES record for J. Hagstrom was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.