Individual provider Active NPI

Ravi Trikamlal Makwana, MD

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1174732861
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD432043 Issued in PA
Practice address
1723 Northampton St
Easton, PA 18042-3133
Phone
(610) 253-7211
Fax
(610) 258-8106
NPI assigned
May 21, 2007
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432043 PA Primary

Addresses

Primary practice location

1723 Northampton St
Easton, PA 18042-3133

Mailing address

1723 Northampton St
Easton, PA 18042-3133
Phone (610) 253-7211

Other identifiers 6

IdentifierTypeStateIssuer
1019844190001MedicaidPA
285655500OtherPAINDEPENDENCE BLUE CROSS
50086960OtherPACAPITAL BLUE CROSS
1975123OtherPAHIGHMARK BS
101984419 0004MedicaidPA
1975123OtherPABLUE SHIELD

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
I20070813000618 PA Practitioner - Internal Medicine 9032200514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Apr 15, 2024 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Apr 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 1, 2020 Accepting new patients

Locations

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

5445 Lanark Rd
Ste 200
Center Valley, PA 18034
Phone (484) 526-7036

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

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

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

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, 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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1174732861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423133",
            "telephone_number": "610-253-7211",
            "fax_number": "610-258-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423133",
            "telephone_number": "610-253-7211",
            "fax_number": "610-258-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKWANA",
        "first_name": "RAVI",
        "middle_name": "TRIKAMLAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019844190001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "285655500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50086960",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1975123",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101984419 0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1975123",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.