NPIMap

Individual provider Active NPI

Ravi Agrawal, M.B.B.S

  • Nephrology Physician
  • Bethlehem, PA
National Provider Identifier
1396973178
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD446071 Issued in 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
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD446071 PA
Nephrology Physician 207RN0300X 25MA10257500 NJ
Nephrology Physician 207RN0300X MD446071 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000296 PA Practitioner - NephrologyPractitioner - Internal Medicine 0547426256 Reassigns benefits to 3 organizations
I20180424000649 NJ Practitioner - Nephrology 0547426256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10257500NJMDNephrology Physician
MD446071PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, LTD. Nephrology Current Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Gslpg, Inc CurrentSince Nov 4, 2019 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 Warren Physician Group, PC CurrentSince Mar 17, 2018 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Mar 17, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Nephrology CurrentSince Feb 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2012 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

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1396973178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EATON AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7780",
            "fax_number": "833-816-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 EATON AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7780",
            "fax_number": "833-816-7518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180452669",
            "country_code": "US",
            "telephone_number": "610-252-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "RAVI",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446071",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA10257500",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD446071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.