ST. LUKE'S PHYSICIAN GROUP, INC.
NPI 1790341212
Pediatrics - Pediatric Nephrology in Bethlehem, PA

NPI Status: Active since May 10, 2019

Contact Information

834 EATON AVE STE 301
BETHLEHEM, PA
ZIP 18018
Phone: (484) 526-7780
Fax: (833) 816-7518

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  • Organization
  • Pediatrics
  • Pediatric Nephrology
  • CLIA Number: 39D2050298
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-25-2026

About ST. LUKE'S PHYSICIAN GROUP, INC.

This page provides the complete NPI Profile along with additional information for St. Luke's Physician Group, Inc., a pediatrician established in Bethlehem, Pennsylvania operating as a Pediatrics, focusing in pediatric nephrology . The healthcare provider is registered in the NPI registry with number 1790341212 assigned on May 2019. The practitioner's primary taxonomy code is 2080P0210X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dean Evans (President)

NPI
1790341212
Provider Name
ST. LUKE'S PHYSICIAN GROUP, INC.
Entity Type
Organization
Location Address
834 EATON AVE STE 301 BETHLEHEM, PA 18018
Location Phone
(484) 526-7780
Location Fax
(833) 816-7518
Mailing Address
834 EATON AVE STE 301 BETHLEHEM, PA 18018
Mailing Phone
(484) 526-7780
Mailing Fax
(833) 816-7518
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-10-2019
Last Update Date
05-10-2019
Code Navigator

A pediatrician like St. Luke's Physician Group, Inc. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Nephrology

Taxonomy Code
2080P0210X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEAN EVANS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(484) 526-4999

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2050298
Facility Type
Physician Office
Certificate Effective Date
November 26, 2024
Certificate Expiration Date
November 25, 2026
Laboratory Director
DR. ROBERT S. GAYNER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St. Luke's Physician Group, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790341212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 6 + 4 + 2 + 2 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1790341212.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
834 EATON AVE STE 301
BETHLEHEM, PA 18018
Nurse Practitioner
834 EATON AVE STE 301
BETHLEHEM, PA 18018
Physician Assistant
834 EATON AVE STE 301
BETHLEHEM, PA 18018
Nurse Practitioner
834 EATON AVE STE 301
BETHLEHEM, PA 18018
Internal Medicine (Nephrology)
834 EATON AVE STE 301
BETHLEHEM, PA 18018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790341212, enumerated as an "organization" on May 10, 2019.

The provider is located at 834 EATON AVE STE 301 BETHLEHEM, PA 18018 and the phone number is (484) 526-7780.

Pediatrics with taxonomy code 2080P0210X and a focus in Pediatric Nephrology.