Organization Active NPI

Bucks County Kidney Specialists, PC

  • Nephrology Physician
  • Langhorne, PA
National Provider Identifier
1407169675
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BUCKS COUNTY KIDNEY SPECIALISTS, PC
Practice address
402 Middletown Blvd Ste 214
Langhorne, PA 19047-1818
Phone
(215) 860-3520
Fax
(215) 750-1660
NPI assigned
Jul 16, 2010
Last updated
Nov 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Radhika Pathalapati, MDNPI 1154498699
Title
Owner
Phone
(215) 860-3520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA
Nephrology Physician 207RN0300X PA Primary

Addresses

Primary practice location

402 Middletown Blvd Ste 214
Langhorne, PA 19047-1818

Mailing address

402 Middletown Blvd Ste 214
Langhorne, PA 19047-1818
Phone (215) 860-3520

Other practice location 1

60 Blacksmith Rd
Newtown, PA 18940-1847
Phone (215) 860-3520

Other identifiers 1

IdentifierTypeStateIssuer
102510150-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101229000419 PA Part B Supplier - Clinic/Group Practice 8022206473 Receives reassigned benefits from 7 practitioners
Practice locations: Langhorne, PA
O20180621001354 NJ Part B Supplier - Clinic/Group Practice 8022206473 Receives reassigned benefits from 4 practitioners
Practice locations: Plainsboro, NJ

National Provider Directory

National Provider Directory

Locations

402 Middletown Blvd
Ste 214
Langhorne, PA 19047
Phone (215) 752-8700

60 Blacksmith Rd
Newtown, PA 18940
Phone (215) 860-3520

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1407169675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 214",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-860-3520",
            "fax_number": "215-750-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD STE 214",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-860-3520",
            "fax_number": "215-750-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Blacksmith Rd",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401847",
            "country_code": "US",
            "telephone_number": "215-860-3520",
            "fax_number": "215-860-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUCKS COUNTY KIDNEY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "PATHALAPATI",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-860-3520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102510150-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.