DITINA K GHETIA M.D.
NPI 1750698171
Hospitalist in Allentown, PA

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-5369(610) 402-5959 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2021, Jul 10, 2019, Feb 22, 2016 (3 updates tracked since 2016).

About Ditina K Ghetia M.d. NPPES

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

DITINA K GHETIA M.D. (NPI 1750698171) is an individual hospitalist provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD462543) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1750698171
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDITINA K GHETIACredential: M.D.
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 402-5959
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 7, 2010
Last NPPES UpdateFebruary 9, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1750698171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in PA · MD462543✔ Licensed in NJ · 25MA08888200
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License M.D.204150 (LA), 25MA08888200 (NJ), MD462543 (PA)
1200 S CEDAR CREST BLVD, Allentown, PA 18103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ditina K Ghetia M.d. 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 ID4789873340
PECOS Enrollment IDI20110726000152, I20181024001144
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

5

Medicare enrollment records show Ditina Ghetia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1200 S CEDAR CREST BLVD
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

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.
149 services146 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex 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

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
$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.

Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

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 Ditina Ghetia's NPI number?

The NPI number for Ditina Ghetia is 1750698171. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Ditina Ghetia located?

Ditina Ghetia practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-5369.

What is Ditina Ghetia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ditina Ghetia enrolled in Medicare?

Yes. Ditina Ghetia 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.

Which organizations bill Medicare for Ditina Ghetia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ditina Ghetia reassigns Medicare benefits to 5 organizations: Lehigh Valley Physician Group (Allentown, PA), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). 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 Ditina Ghetia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ditina Ghetia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next and Oscar Health list Ditina Ghetia 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 Ditina Ghetia affiliated with any hospitals?

According to CMS data, Ditina Ghetia is affiliated with Robert Wood Johnson University Hospital and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Ditina Ghetia was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.