Individual provider Active NPI

Sudeep Pramanik, MD

  • Ophthalmology Physician
  • Towson, MD
National Provider Identifier
1225020159
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD428529 Issued in PA
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

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1016496560002MedicaidPA
1346488343OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20060621000311 PA Practitioner - Ophthalmology 9638107121 Reassigns benefits to 1 organization
I20090319000568 MD Practitioner - Ophthalmology 9638107121 Reassigns benefits to 1 organization

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
Mid Atlantic Eye, LLCGroup PAC ID 1153502976, 3 clinicians

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 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
87.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35997IAMDOphthalmology Physician
D0067362MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Eye, LLC Ophthalmology CurrentSince Feb 20, 2009 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

  • Direct secure messaging: spramanik@macc.intellechartdirect.net
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.