Individual provider Active NPI

Laxmi Vasudha Devisetty, M.D.

  • Ophthalmology Physician
  • Lawrenceville, NJ
National Provider Identifier
1154598951
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA12073000 Issued in NJ
Practice address
4 Princess Rd Ste 101
Lawrenceville, NJ 08648-2322
Phone
(609) 896-1414
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 87151 GA
Ophthalmology Physician 207W00000X 4301100487 MI
Ophthalmology Physician 207W00000X MD439537 PA
Ophthalmology Physician 207W00000X 25MA12073000 NJ Primary

Addresses

Primary practice location

4 Princess Rd Ste 101
Lawrenceville, NJ 08648-2322

Mailing address

2200 St Lukes Blvd Ste 104
Easton, PA 18045-5665
Phone (484) 658-9330

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
I20101217000778 PA Practitioner - Ophthalmology 9931391570 Reassigns benefits to 2 organizations
I20240127000409 NJ Practitioner - Ophthalmology 9931391570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

2200 St Luke'S Blvd
Easton, PA 18045-5665

3440 Lehigh St
Allentown, PA 18103-7001

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12073000NJMDOphthalmology Physician
MD439537PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Nov 18, 2025 Accepting new patients
Bethlehem Eye Associates, P.C. Ophthalmology CurrentSince Jan 15, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Nov 24, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Nov 24, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC Ophthalmology CurrentSince Nov 18, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

755 Memorial Pkwy
Ste 202A
Phillipsburg, NJ 08865
Phone (908) 454-5338

3440 Lehigh St
Fl 2
Allentown, PA 18103
Phone (484) 658-9330

800 Eaton Ave
Ste 101
Bethlehem, PA 18018
Phone (610) 691-3335

2200 St Lukes Blvd
Ste 104
Easton, PA 18045
Phone (484) 658-9330

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: ldevisetty@arcnj.intellechartdirect.net
  • Direct secure messaging: ldevisetty321129@direct-sluhn.org

Organizations & group practices 8

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 6

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1154598951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD STE 104",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-658-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-896-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVISETTY",
        "first_name": "LAXMI",
        "middle_name": "VASUDHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "87151",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301100487",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD439537",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA12073000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.