Active NPI
Thekkemadom Ramakrishnan, MD
- Allergy & Immunology Physician
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD041515L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608831 | Other | PA | HIGHMARK BLUE SHIELD |
| 0012228270002 | Medicaid | PA | |
| 01964701 | Other | CAPITAL 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD041515L | PA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physician Associates, LLC | Current | 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
- 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.
-
- Allergy & Immunology Physician
- Easton, PA
- NPI 1427021781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.