Lukose Simon Vadakara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA69469 Issued in NJ

Practice address

1401 Whitehorse Mercerville Rd Ste 220
Hamilton, NJ 08619-3835

Phone

(609) 249-6664

Fax

(609) 249-6665

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercer Care Home health agency, Bordentown, NJ, CCN 317062
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
• Greenwood House Home for the Jewish Aged Nursing home, Trenton, NJ, CCN 315215
• Avant Rehabilitation and Care Center Nursing home, Trenton, NJ, CCN 315455
• Hamilton Grove Healthcare and Rehabilitation, LLC Nursing home, Hamilton, NJ, CCN 315423

Merit-based Incentive Payment System (MIPS)

Final score

96.91 of 100Reported as apm

Quality

79.42

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lukose.vadakara.1@12833.athenahealth.com
• Direct secure messaging: lukose.vadakara.1@12833.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

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.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887
  Medicare reassignment Care Compare group NPD

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

• Brunswick Garden Group LLC

  • Skilled Nursing Facility
  • Trenton, NJ
  • NPI 1104574755

  Nursing home

  Care Compare affiliation
• Capital Health System Inc

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation
• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Greenwood House, Home for the Jewish Aged Inc.

  • Skilled Nursing Facility
  • Ewing, NJ
  • NPI 1710986823

  Nursing home

  Care Compare affiliation
• Hamilton Grove Healthcare & Rehabilitation LLC

  • Skilled Nursing Facility
  • Hamilton, NJ
  • NPI 1649571225

  Nursing home

  Care Compare affiliation
• Mercer Care Partners Medical Home Health Care LLC

  • Home Health Agency
  • Bordentown, NJ
  • NPI 1336575919
  Care Compare affiliation
• Robert Wood Johnson University Hospital at Hamilton

  • General Acute Care Hospital
  • Hamilton, NJ
  • NPI 1629069638
  Care Compare affiliation

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1255340345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLETTA DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274862",
            "telephone_number": "732-961-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WHITEHORSE MERCERVILLE RD STE 220",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193835",
            "telephone_number": "609-249-6664",
            "fax_number": "609-249-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 Klockner Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086903417",
            "country_code": "US",
            "telephone_number": "609-584-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADAKARA",
        "first_name": "LUKOSE",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA69469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60025158",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8013004",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lukose.vadakara.1@12833.Athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Whitehorse Mercerville Rd Ste 220",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Urology of Hamilton
• Qaisar Hasan Usmani, MD
• Ikenna Daniel Usonwu, MSN FNP-BC
• Vadakara Internal Medicine Associates PA
• Laisa Lukose Vadakara, MD
• Brianna Vadala, MS, CCC-SLP
• Sonam Vaishnani
• Maria Linda O Valencia, MD
• Charlene Dorothy Valenta, RN, MSN, CNOR, RNFA
• Ivette Valori, MSW, LSW

• Internal Medicine Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.