Ravi Agrawal, M.B.B.S
Individual provider Active NPI Nephrology Physician · Bethlehem, PA
NPI 1396973178 · NPPES record last updated Jun 2, 2020
Key facts
- NPI
- 1396973178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD446071 (PA)
- Practice address
- 834 Eaton Ave Ste 301
Bethlehem, PA 18018-1832 - Phone
- (484) 526-7780
- Fax
- (833) 816-7518
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Lukes Warren Physician Group PC
St Lukes Physician Group Inc
Practice addresses (Care Compare)
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212
1901 W Hamilton St
300 St Lukes Nephrology Associates
Allentown, PA 18104-6459
Phone (610) 628-7920
279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546
Hospital & facility affiliations
- DaVita Palmer Dialysis Center
- DaVita St Luke's Allentown Dialysis
- DaVita St Luke's at Home
- Davita St Lukes Anderson Dialysis
- St Lukes Hospital
- St Luke'S Warren Hospital
- St Luke'S Hospital - Easton Campus
- St Luke'S Hospital - Upper Bucks Campus
- St Luke'S Hospital - Monroe Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120725000296 | PA | Practitioner - Nephrology |
0547426256 | Reassigns benefits to 3 organizations |
| I20180424000649 | NJ | Practitioner - Nephrology | 0547426256 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10257500 | NJ | MD | Nephrology Physician |
| MD446071 | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current |
Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Internal Medicine | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Internal Medicine | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, LTD. | Nephrology | Current | Accepting new patients |
| St. Luke'S Physician Group, Inc. | Nephrology | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Gslpg, Inc | Current |
Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current |
Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
Locations
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777
1901 Hamilton St
Ste 300
Allentown, PA 18104
Phone (610) 628-7900
30 Community Dr
Easton, PA 18045
Phone (610) 252-6950
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD446071 | PA | |
| Nephrology Physician | 207RN0300X | 25MA10257500 | NJ | |
| Nephrology Physician | 207RN0300X | MD446071 | PA | Yes |
Addresses
Primary practice location
834 Eaton Ave Ste 301
Bethlehem, PA 18018-1832
Mailing address
834 Eaton Ave Ste 301
Bethlehem, PA 18018-1832
Phone (484) 526-7780
Other practice location 1
30 Community Dr
Easton, PA 18045-2669
Phone (610) 252-6950
Other providers in Bethlehem, PA
- Tanjila Afroz
- Hannah Agarwal
- Sanjiv S Agarwala
- Swati Agnihotri
- Maria Agosto
- Darin Jay Agresti
- Ahc Home Health of Lehigh Valley LLC
- Ahc of Hanover, LLC
- Lori Ahdieh
- Joseph Michael Ahearn III
All providers in Bethlehem, PA · Nephrology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.