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

Active since February 13, 2006PECOS Enrolled
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: October 25, 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.

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
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
Open in Google Maps ↗

Other Identifiers 1

Medicaid001369091CT

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)

J. Nathan Hagstrom Md 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 Reassignment

Medicare enrollment records show J. Hagstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Valley Physician Group
0.8 mi
Internal Medicine
325 W BROAD ST
Bethlehem, PA 18018
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1235537028 (484) 626-9200

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

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 enrollment system.

Which organization bills Medicare for J. Hagstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J. Hagstrom reassigns Medicare benefits to Lehigh Valley Physician Group (Bethlehem, PA). The 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 J. Hagstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does J. Hagstrom accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list J. Hagstrom 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 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.