KENNETH R. BERTKA (MD) – Family Medicine Physician, NPI 1609865823

KENNETH R. BERTKA (MD) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35050904 (OH). The NPI Number for KENNETH R. BERTKA (MD) is 1609865823

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R. BERTKA (MD)
NPI
1609865823
Phone
(484) 526-3555
Address
2830 EASTON AVE
Enumeration Date
20 October 2005
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
4845263555
Graduation Year
1983 (43 years ago)
PAC ID
6002892460
Group Practice PAC ID
7618215237
Professional Enrollment ID
I20170619000082
Address ID
PA180174204BE2830XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for KENNETH R. BERTKA (MD)

  • 2830, Easton Avenue, Farmersville, Bethlehem, Northampton County, Pennsylvania, 18017, United States

    BETHLEHEM, PA 180174204

    Phone: (484) 526-3555

    Fax: (484) 526-3560

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160719001513IFamily PracticeWITBD
I20170619000082IFamily PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618215237View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YPA
Family PracticeNJ
Family PracticePA
Family PracticePA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Nurse PractitionerPA
Internal MedicinePA
Family PracticePA
Family Practice, Sports MedicineNJ

Reviews

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Frequently asked questions

How do I look up KENNETH R. BERTKA (MD) by NPI?
Use NPI 1609865823 when you need to reference KENNETH R. BERTKA (MD) in forms, claims, or directories.
Is KENNETH R. BERTKA (MD)'s NPI currently valid?
The extract we use shows KENNETH R. BERTKA (MD) as active.
What does KENNETH R. BERTKA (MD) treat or focus on?
Patients typically see KENNETH R. BERTKA (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH R. BERTKA (MD)?
The snapshot lists Bethlehem, Pennsylvania for KENNETH R. BERTKA (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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