Individual provider Active NPI

Radhika Pathalapati, MD

  • Nephrology Physician
  • Langhorne, PA
National Provider Identifier
1154498699
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD430411 Issued in PA
Practice address
402 Middletown Blvd Ste 214
Langhorne, PA 19047-1818
Phone
(215) 860-3520
Fax
(215) 750-1660
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07560700 NJ
Internal Medicine Physician 207R00000X MD430411 PA
Nephrology Physician 207RN0300X 25MA07560700 NJ
Nephrology Physician 207RN0300X MD430411 PA Primary

Addresses

Primary practice location

402 Middletown Blvd Ste 214
Langhorne, PA 19047-1818

Mailing address

402 Middletown Blvd Ste 214
Langhorne, PA 19047-1818
Phone (215) 860-3520

Other identifiers 3

IdentifierTypeStateIssuer
1021654410002MedicaidPA
1021654410001MedicaidPA
0185582MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070306000579 PA Practitioner - NephrologyPractitioner - Internal Medicine 1850281007 Reassigns benefits to 1 organization
I20180621001647 NJ Practitioner - Nephrology 1850281007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bucks County Kidney Specialists, PCGroup PAC ID 8022206473, 4 clinicians

Practice addresses (Care Compare)

29 Meadowlark Dr
Plainsboro, NJ 08536-2059
Phone (215) 860-3520

402 Middletown Blvd
Suite 214
Langhorne, PA 19047-1818
Phone (215) 860-3520

Hospital & facility affiliations

  • DaVita Dialysis Center at Oxford Court Dialysis facility, Langhorne, PA, CCN 392644
  • DaVita Newtown Dialysis Center Dialysis facility, Newtown, PA, CCN 392616
  • Dialyze Direct PA Dialysis facility, Exton, PA, CCN 392868
  • Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07560700NJMDInternal Medicine Physician
MD430411PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Kidney Specialists, PC Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Davita Nephrology Medical Associates of Pennsylvania, PC Nephrology Past Accepting new patients
Comprehensive Commuity Development Corporation Past Accepting new patients
Comprehensive Commuity Development Corporation Past Accepting new patients

Locations

402 Middletown Blvd
Ste 214
Langhorne, PA 19047
Phone (215) 752-8700

60 Blacksmith Rd
Newtown, PA 18940
Phone (215) 860-3520

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDBABA/Endpoint/BDBABA

Organizations & group practices 4

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1154498699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 214",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-860-3520",
            "fax_number": "215-750-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 214",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-860-3520",
            "fax_number": "215-750-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHALAPATI",
        "first_name": "RADHIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07560700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD430411",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07560700",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD430411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021654410002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021654410001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185582",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.