NPIMap

Individual provider Active NPI

Tribhuvan Kumar Pendurthi, M.D.

  • Surgical Oncology Physician
  • Bethlehem, PA
National Provider Identifier
1235112293
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD055454L Issued in PA
Practice address
3600 Fairview St
Bethlehem, PA 18017-8923
Phone
(610) 882-0199
Fax
(610) 882-2814
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD055454L PA
Surgical Oncology Physician 2086X0206X MD055454L PA Primary

Addresses

Primary practice location

3600 Fairview St
Bethlehem, PA 18017-8923

Mailing address

3600 Fairview St
Bethlehem, PA 18017-8923
Phone (610) 882-0199

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
I20060323000628 PA Practitioner - General SurgeryPractitioner - Surgical Oncology 8628086261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Fairview St
Bethlehem, PA 18017-8923
Phone (610) 882-0199

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • Good Shepherd Specialty Hospital Long-term care hospital, Bethlehem, PA, CCN 392033

Merit-based Incentive Payment System (MIPS)

Final score
82.86 of 100Reported as individual
Quality
72.1
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy151
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux153
Melanoma (skin cancer) excision19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD055454LPAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T.Kumar Pendurthi Surgical Associates,LLC Surgery CurrentSince Aug 7, 2008 Accepting new patients
Ravindra R Kandula, M.D. PC Surgery Past Accepting new patients
Integrated Physicians Group, LLC Surgery Past Accepting new patients

Locations

3600 Fairview St
Bethlehem, PA 18017
Phone (610) 882-0199

Interoperability endpoints

  • Direct secure messaging: tkumar.pendurthi.p18@direct.secureehr.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Shepherd Specialty HospitalBethlehem, PA, CCN 392033 Hospital Corporate Director Jul 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1235112293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FAIRVIEW ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178923",
            "telephone_number": "610-882-0199",
            "fax_number": "610-882-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FAIRVIEW ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178923",
            "telephone_number": "610-882-0199",
            "fax_number": "610-882-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDURTHI",
        "first_name": "TRIBHUVAN",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD055454L",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD055454L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.