NPIMap

Individual provider Active NPI

Sudip Nanda, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Bethlehem, PA
National Provider Identifier
1205027653
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD432934 Issued in PA
Practice address
1469 8TH Ave
Bethlehem, PA 18018-2256
Phone
(610) 419-7800
Fax
(610) 419-7810
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 106247 MN
Clinical Cardiac Electrophysiology Physician 207RC0001X MD432934 PA Primary

Addresses

Primary practice location

1469 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (610) 419-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000012 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971684523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1165 Centre Tpke
Orwigsburg, PA 17961-9343
Phone (272) 639-4990

1241 Blakeslee Blvd Dr E
Lehighton, PA 18235-2401
Phone (570) 386-6900

1425 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-2229

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 503-8281

1532 Park Ave
Quakertown, PA 18951-1048

1648 Hamilton St
Allentown, PA 18102-5054
Phone (610) 628-8038

1648 W Hamilton St
Allentown, PA 18102-5054

1700 St Lukes Blvd
Easton, PA 18045-5670

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

235 E Brown St
Stroudsburg, PA 18301-3013
Phone (570) 645-1830

3 Life Mark Dr
Sellersville, PA 18960-1598
Phone (484) 503-4500

360 W Riddle St
Coaldale, PA 18218-1027

487 E Moorestown Rd
Wind Gap, PA 18091-9662

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Nov 1, 2007 Accepting new patients
Gslpg, Inc CurrentSince Jul 1, 2020 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

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

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1532 Park Ave
Ste 105
Quakertown, PA 18951
Phone (267) 424-8100

Organizations & group practices 5

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 10

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1205027653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "610-419-7800",
            "fax_number": "610-419-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "610-419-7800",
            "fax_number": "610-419-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDA",
        "first_name": "SUDIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "106247",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD432934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.