Active NPI
Sudeep Pramanik, MD
- Ophthalmology Physician
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD428529
- Practice address
- 40 York Rd Ste 500
Towson, MD 21204-5243 - Phone
- (410) 616-9952
- Fax
- (443) 927-7515
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35997 | IA | |
| Ophthalmology Physician | 207W00000X | D0067362 | MD | |
| Ophthalmology Physician | 207W00000X | MD428529 | PA | Primary |
Addresses
Primary practice location
40 York Rd Ste 500
Towson, MD 21204-5243
Mailing address
40 York Rd Ste 500
Towson, MD 21204-5243
Phone (410) 616-9952
Other practice location 1
1600 6th Ave Ste 119B
York, PA 17403-2627
Phone (410) 616-9952
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016496560002 | Medicaid | PA | |
| 1346488343 | Other | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Baylor College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 6TH Ave
Suite 119B
York, PA 17403-2627
40 York Rd
Suite 500
Baltimore, MD 21204-5243
Phone (410) 616-9952
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.36 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 687 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35997 | IA | MD | Ophthalmology Physician |
| D0067362 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Atlantic Eye, LLC | Ophthalmology | Current | Accepting new patients |
| Advanced Eye Laser and Surgery Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mid-Atlantic Eye Physicians, PA | Ophthalmology | Past | Accepting new patients |
| Jacques L. Surer, Jr., D.O.,PC | Ophthalmology | Past | Accepting new patients |
Locations
6569 N Charles St
Ste 5
Baltimore, MD 21204
7101 Guilford Dr
Ste 201
Frederick, MD 21704
Phone (240) 463-7724
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
40 York Rd
Ste 500
Towson, MD 21204
Phone (410) 616-9952
1600 6th Ave
Ste 119B
York, PA 17403
Phone (717) 650-6148
1750 5th Ave
Ste 301
York, PA 17403
Phone (717) 843-7829
Interoperability endpoints
- spramanik@macc.intellechartdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mid Atlantic Eye Consultants
- Ophthalmology Physician
- Towson, MD
- NPI 1346488343
PA
-
- Ambulatory Surgical Clinic/Center
- Sparks, MD
- NPI 1174329502
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Ophthalmology Physician
- York, PA
- NPI 1669548905
-
- Ophthalmology Physician
- Roanoke Rapids, NC
- NPI 1215984331
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1225020159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 YORK RD STE 500",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045243",
"telephone_number": "410-616-9952",
"fax_number": "443-927-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 YORK RD STE 500",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045243",
"telephone_number": "410-616-9952",
"fax_number": "443-927-7515"
}
],
"practiceLocations": [
{
"address_1": "1600 6th Ave Ste 119B",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174032627",
"country_code": "US",
"telephone_number": "410-616-9952",
"fax_number": "443-927-7515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRAMANIK",
"first_name": "SUDEEP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "35997",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0067362",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD428529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016496560002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1346488343",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.