Individual provider Active NPI

Thekkemadom Ramakrishnan, MD

  • Allergy & Immunology Physician
  • Easton, PA
National Provider Identifier
1144293473
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD041515L Issued in PA
Practice address
2925 William Penn Highway
Suite # 303
Easton, PA 18045
Phone
(610) 559-9622
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD041515L PA Primary

Addresses

Primary practice location

2925 William Penn Highway
Suite # 303
Easton, PA 18045

Mailing address

2925 William Penn Hwy
Suite # 303
Easton, PA 18045-5283
Phone (610) 559-9622

Other identifiers 3

IdentifierTypeStateIssuer
608831OtherPAHIGHMARK BLUE SHIELD
0012228270002MedicaidPA
01964701OtherCAPITAL BLUE CROSS OF PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000262 PA Practitioner - Allergy/Immunology 4688648751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physician Associates, LLCGroup PAC ID 6204012016, 43 clinicians

Practice addresses (Care Compare)

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041515LPAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physician Associates, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

185 Roseberry St
Ofc
Phillipsburg, NJ 08865
Phone (610) 250-9605

3445 High Point Blvd
Ste 400
Bethlehem, PA 18017
Phone (610) 824-5050

2851 Baglyos Cir
Ste 201
Bethlehem, PA 18020
Phone (610) 515-1590

2925 Wm Penn Hwy
Ste 303
Easton, PA 18045
Phone (610) 559-9622

497 Bushkill Plaza Ln
Ste C
Wind Gap, PA 18091
Phone (610) 365-2144

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295740800000",
    "number": "1144293473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WILLIAM PENN HWY",
            "address_2": "SUITE # 303",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455283",
            "telephone_number": "610-559-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 WILLIAM PENN HIGHWAY",
            "address_2": "SUITE # 303",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "610-559-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNAN",
        "first_name": "THEKKEMADOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD041515L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "608831",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012228270002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS OF PA",
            "identifier": "01964701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.